- Enrollment id
- O20200821000703
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1770191884
- Multiple npi flag
- N
- Ccn
- 753167
- Associate id
- 5698191591
- Organization name
- VERITY HOME HEALTH INC
- Incorporation date
- 2020-06-19
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17620 SHERMAN WAY
- Address line 2
- STE 101
- City
- VAN NUYS
- State
- CA
- Zip code
- 914063527