- Enrollment id
- O20200410000131
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1801354691
- Multiple npi flag
- N
- Ccn
- 559281
- Associate id
- 5294164307
- Organization name
- TRINITY HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7100 HAYVENHURST AVE
- Address line 2
- STE 309
- City
- VAN NUYS
- State
- CA
- Zip code
- 914063874