Public record

CMS Home Health Agency Enrollments

Npi: 1609064039 · 1 matching record

Enrollment id
O20041221001070
Enrollment state
CA
Provider type code
00-06
Provider type text
PART A PROVIDER - HOME HEALTH AGENCY
Npi
1609064039
Multiple npi flag
N
Ccn
059013
Associate id
8628036605
Organization name
SAINT JOSEPH SUNDAY CORPORATION
Doing business as name
QUALITY FIRST HOME HEALTH CARE
Incorporation date
2004-09-01
Incorporation state
CA
Organization type structure
CORPORATION
Proprietary nonprofit
P
Address line 1
600 N MOUNTAIN AVE
Address line 2
STE B205
City
UPLAND
State
CA
Zip code
917864366

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list