- Enrollment id
- O20090114000422
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1679724223
- Multiple npi flag
- N
- Ccn
- 059213
- Associate id
- 0648333823
- Organization name
- SHAPIRA AND STEIN, INC.
- Doing business as name
- SHAPIRA & STEIN HOME HEALTH CARE AGENCY
- Incorporation date
- 2005-01-05
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4741 LAUREL CANYON BLVD
- Address line 2
- STE 208
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916075915
- Practice location type
- HHA BRANCH