- Enrollment id
- O20200914001364
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1679187223
- Multiple npi flag
- N
- Ccn
- 559733
- Associate id
- 9335567999
- Organization name
- HELP LINE HOME HEALTH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16200 VENTURA BLVD
- Address line 2
- STE 420
- City
- ENCINO
- State
- CA
- Zip code
- 914364908