- Enrollment id
- O20220907000309
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1710622469
- Multiple npi flag
- N
- Ccn
- 757974
- Associate id
- 4486038692
- Organization name
- AYRA HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 229 N CENTRAL AVE
- Address line 2
- STE 207
- City
- GLENDALE
- State
- CA
- Zip code
- 912032596
- Practice location type
- HHA BRANCH