- Enrollment id
- O20220920000108
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1790353613
- Multiple npi flag
- N
- Ccn
- 757287
- Associate id
- 5294110755
- Organization name
- SUMMA HOME HEALTH CARE, INC.
- Incorporation date
- 2021-06-04
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2500 E FOOTHILL BLVD
- Address line 2
- STE 417
- City
- PASADENA
- State
- CA
- Zip code
- 911077134