- Enrollment id
- O20180607000047
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1780990077
- Multiple npi flag
- N
- Ccn
- 053175
- Associate id
- 7113192501
- Organization name
- OC HOME HEALTH CARE, INC.
- Incorporation date
- 2010-06-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 19626 VENTURA BLVD
- Address line 2
- STE 223
- City
- TARZANA
- State
- CA
- Zip code
- 913566035