- Enrollment id
- O20180712001303
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1619484847
- Multiple npi flag
- N
- Ccn
- 757103
- Associate id
- 3678829264
- Organization name
- SENIOR HEALTH ADVOCATES
- Incorporation date
- 2017-12-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 303 N GLENOAKS BLVD
- Address line 2
- STE 233
- City
- BURBANK
- State
- CA
- Zip code
- 915021116
- Practice location type
- HHA BRANCH