- Enrollment id
- O20141231000005
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1669870242
- Multiple npi flag
- N
- Ccn
- 059737
- Associate id
- 2961725718
- Organization name
- RH HOME HEALTH SERVICES INC
- Incorporation date
- 2014-11-25
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 229 N CENTRAL AVE
- Address line 2
- STE 610
- City
- GLENDALE
- State
- CA
- Zip code
- 912033533