- Enrollment id
- O20200506002878
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1609314327
- Multiple npi flag
- N
- Ccn
- 559492
- Associate id
- 3870924863
- Organization name
- ENSURE HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 20944 SHERMAN WAY
- Address line 2
- STE 106
- City
- CANOGA PARK
- State
- CA
- Zip code
- 913031798