- Enrollment id
- O20150504000105
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1760886196
- Multiple npi flag
- N
- Ccn
- 053103
- Associate id
- 5799004370
- Organization name
- VEROMA HOME HEALTH INC
- Incorporation date
- 2014-03-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17915 VENTURA BLVD
- Address line 2
- STE 210
- City
- ENCINO
- State
- CA
- Zip code
- 913164805
- Practice location type
- HHA BRANCH