- Enrollment id
- O20191217001250
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1619532702
- Multiple npi flag
- N
- Ccn
- 757167
- Associate id
- 6608200175
- Organization name
- CARE FIRST HOME HEALTH CARE INC
- Doing business as name
- OPTIMAL CARE FIRST
- Incorporation date
- 2019-03-25
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2139 TAPO ST
- Address line 2
- STE 206
- City
- SIMI VALLEY
- State
- CA
- Zip code
- 930633476