- Enrollment id
- O20250116000392
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1780325506
- Multiple npi flag
- N
- Ccn
- 758189
- Associate id
- 0143758342
- Organization name
- ACAI HOME HEALTH CARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 15720 VENTURA BLVD
- Address line 2
- STE 231
- City
- ENCINO
- State
- CA
- Zip code
- 914362980
- Practice location type
- HHA BRANCH