- Enrollment id
- O20230204000162
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1801551171
- Multiple npi flag
- N
- Ccn
- 757573
- Associate id
- 5294107033
- Organization name
- 1ST SOLUTION HOME HEALTH, INC.
- Incorporation date
- 2021-10-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1314 W GLENOAKS BLVD
- Address line 2
- STE 106
- City
- GLENDALE
- State
- CA
- Zip code
- 912014889