- Enrollment id
- O20070315000534
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1811028830
- Multiple npi flag
- N
- Ccn
- 058463
- Associate id
- 1658474465
- Organization name
- CITY OF ANGELS BEST CARE, INC.
- Incorporation date
- 2006-12-22
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2252 BEVERLY BLVD
- Address line 2
- STE 201
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900572236
- Practice location type
- HHA BRANCH