- Enrollment id
- O20210126000090
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1730720681
- Multiple npi flag
- N
- Ccn
- 559519
- Associate id
- 1153735618
- Organization name
- ATTENTIVE HOME HEALTH INC
- Incorporation date
- 2019-09-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 19634 VENTURA BLVD
- Address line 2
- STE 111
- City
- TARZANA
- State
- CA
- Zip code
- 913562967