- Enrollment id
- O20230925001761
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1609506914
- Multiple npi flag
- N
- Ccn
- 757800
- Associate id
- 1951755925
- Organization name
- ARIA HOME HEALTH SERVICES INC
- Incorporation date
- 2022-03-15
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12235 BEACH BLVD
- Address line 2
- STE 205C
- City
- STANTON
- State
- CA
- Zip code
- 906803962