- Enrollment id
- O20240227000610
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1609539378
- Multiple npi flag
- N
- Ccn
- 757740
- Associate id
- 8729423033
- Organization name
- DOOR TO DOOR HOME HEALTH CARE, INC.
- Incorporation date
- 2021-08-06
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14435 HAMLIN ST
- Address line 2
- STE 209
- City
- VAN NUYS
- State
- CA
- Zip code
- 914016205