- Enrollment id
- O20220315000218
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1609358282
- Multiple npi flag
- N
- Ccn
- 757329
- Associate id
- 6608261425
- Organization name
- PERENNIAL HOME HEALTH CARE INC
- Incorporation date
- 2018-10-08
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2321 W OLIVE AVE
- Address line 2
- STE L
- City
- BURBANK
- State
- CA
- Zip code
- 915062662