- Enrollment id
- O20220212000132
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1649887621
- Multiple npi flag
- N
- Ccn
- 753119
- Associate id
- 9931592078
- Organization name
- STORM HOME HEALTH CARE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6454 VAN NUYS BLVD
- Address line 2
- STE 110/10
- City
- VAN NUYS
- State
- CA
- Zip code
- 914011445