- Enrollment id
- O20210825000017
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1699311464
- Multiple npi flag
- N
- Ccn
- 559724
- Associate id
- 2163827429
- Organization name
- LIVERPOOL HOME CARE SERVICES
- Incorporation date
- 2019-08-16
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2828 E FOOTHILL BLVD
- Address line 2
- STE 202B
- City
- PASADENA
- State
- CA
- Zip code
- 911073402