- Enrollment id
- O20100106000178
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1811226707
- Multiple npi flag
- N
- Ccn
- 059457
- Associate id
- 0749321230
- Organization name
- SILVER STAR HOME HEALTH, INC
- Incorporation date
- 2009-11-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3171 LOS FELIZ BLVD
- Address line 2
- STE 200 E & F
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900391536