- Enrollment id
- O20241112000754
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1689324923
- Multiple npi flag
- N
- Ccn
- 758057
- Associate id
- 1254865397
- Organization name
- KIND HANDS HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 19634 VENTURA BLVD
- Address line 2
- STE 308
- City
- TARZANA
- State
- CA
- Zip code
- 913567142
- Practice location type
- HHA BRANCH