- Enrollment id
- O20210111002918
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1639793755
- Multiple npi flag
- N
- Ccn
- 559531
- Associate id
- 1456764497
- Organization name
- ASCEND HOME HEALTH CARE, INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14435 HAMLIN ST
- Address line 2
- STE B1
- City
- VAN NUYS
- State
- CA
- Zip code
- 914016205