- Enrollment id
- O20241105002447
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1770296519
- Multiple npi flag
- N
- Ccn
- 758020
- Associate id
- 5597299115
- Organization name
- CAHAS HOME HEALTH CARE INC
- Incorporation date
- 2022-11-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6454 VAN NUYS BLVD
- Address line 2
- STE 150 ROOM 17
- City
- VAN NUYS
- State
- CA
- Zip code
- 91401
- Practice location type
- HHA BRANCH