- Enrollment id
- O20170105000614
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1750732988
- Multiple npi flag
- N
- Ccn
- 053169
- Associate id
- 1456632405
- Organization name
- ELITE HEALTH & WELLNESS INC
- Doing business as name
- OAKS HOME HEALTH
- Incorporation date
- 2016-07-12
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 22949 VENTURA BLVD
- Address line 2
- STE E
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913641273
- Practice location type
- HHA BRANCH