- Enrollment id
- O20230913001665
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1750046694
- Multiple npi flag
- N
- Ccn
- 757722
- Associate id
- 5799149431
- Organization name
- VALEO HOME HEALTH CARE, INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2139 TAPO ST
- Address line 2
- STE 222
- City
- SIMI VALLEY
- State
- CA
- Zip code
- 930633477