- Enrollment id
- O20211220000598
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1649843210
- Multiple npi flag
- N
- Ccn
- 559537
- Associate id
- 0941691364
- Organization name
- CITY OF ANGELS HOME HEALTH INC
- Incorporation date
- 2007-04-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 22141 VENTURA BLVD
- Address line 2
- STE 207
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913645733