- Enrollment id
- O20250429002269
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1639952070
- Multiple npi flag
- N
- Ccn
- 758223
- Associate id
- 6305362724
- Organization name
- MAXIMAL HELP HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 260 S LOS ROBLES AVE
- Address line 2
- STE 341
- City
- PASADENA
- State
- CA
- Zip code
- 911013626