- Enrollment id
- O20250303000825
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1679349179
- Multiple npi flag
- N
- Ccn
- 758024
- Associate id
- 6800317256
- Organization name
- MS FAMILY HOME HEALTH CARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16200 VENTURA BLVD
- Address line 2
- STE 406
- City
- ENCINO
- State
- CA
- Zip code
- 914364695
- Practice location type
- HHA BRANCH