- Enrollment id
- O20241127002763
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1669245965
- Multiple npi flag
- N
- Ccn
- 758197
- Associate id
- 0749715720
- Organization name
- COZY CARE HOME HEALTH AGENCY INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6360 VAN NUYS BLVD
- Address line 2
- STE 224
- City
- VAN NUYS
- State
- CA
- Zip code
- 914016650
- Practice location type
- HHA BRANCH