- Enrollment id
- O20200521001981
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1659835163
- Multiple npi flag
- N
- Ccn
- 559299
- Associate id
- 5991126294
- Organization name
- ASAP HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 229 N CENTRAL AVE
- Address line 2
- STE 506
- City
- GLENDALE
- State
- CA
- Zip code
- 912033558