- Enrollment id
- O20210812000499
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1629675384
- Multiple npi flag
- N
- Ccn
- 559705
- Associate id
- 0446654461
- Organization name
- AN HOME HEALTH CARE INC
- Incorporation date
- 2020-09-18
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7220 WOODMAN AVE
- Address line 2
- STE 207A
- City
- VAN NUYS
- State
- CA
- Zip code
- 914052668