- Enrollment id
- O20230620000602
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1790430007
- Multiple npi flag
- N
- Ccn
- 757748
- Associate id
- 3678940525
- Organization name
- ANYTIME HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 14531 HAMLIN ST
- Address line 2
- STE 115
- City
- VAN NUYS
- State
- CA
- Zip code
- 914114140