- Enrollment id
- O20200319001805
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1790269413
- Multiple npi flag
- N
- Ccn
- 559435
- Associate id
- 8729416086
- Organization name
- GOOD DAY HOME HEALTH CARE INC
- Incorporation date
- 2018-08-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9608 VAN NUYS BLVD
- Address line 2
- STE 207
- City
- PANORAMA CITY
- State
- CA
- Zip code
- 914021043