- Enrollment id
- O20210817000080
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1669071056
- Multiple npi flag
- N
- Ccn
- 757094
- Associate id
- 9234534108
- Organization name
- HABKO HOME HEALTH CARE INC
- Incorporation date
- 2020-07-02
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 15720 VENTURA BLVD
- Address line 2
- STE 235
- City
- ENCINO
- State
- CA
- Zip code
- 914362978