- Enrollment id
- O20190305000032
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1639669658
- Multiple npi flag
- N
- Ccn
- 559072
- Associate id
- 9931448230
- Organization name
- SILVERLAKE BEST CARE INC
- Incorporation date
- 2018-01-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1010 N CENTRAL AVE
- Address line 2
- UNIT 480
- City
- GLENDALE
- State
- CA
- Zip code
- 912022937
- Practice location type
- HHA BRANCH