- Enrollment id
- O20170811000036
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1598206419
- Multiple npi flag
- N
- Ccn
- 559229
- Associate id
- 8224309117
- Organization name
- 911 HOME HEALTH CARE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5301 LAUREL CANYON BLVD
- Address line 2
- STE 242
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916072847