- Enrollment id
- O20210917000748
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1699441352
- Multiple npi flag
- N
- Ccn
- 757238
- Associate id
- 3072910074
- Organization name
- ARDEN HOME HEALTH INC
- Incorporation date
- 2021-08-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4766 PARK GRANADA
- Address line 2
- STE 214-B
- City
- CALABASAS
- State
- CA
- Zip code
- 913021546