- Enrollment id
- O20071220000343
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1699766212
- Multiple npi flag
- N
- Ccn
- 557468
- Associate id
- 8426148982
- Organization name
- TOTAL HOME HEALTH
- Incorporation date
- 1996-02-09
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 440 W COLORADO ST
- Address line 2
- STE 208A
- City
- GLENDALE
- State
- CA
- Zip code
- 912041541