- Enrollment id
- O20200410000836
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1811549439
- Multiple npi flag
- N
- Ccn
- 559330
- Associate id
- 6901235035
- Organization name
- ARTEMIS HOME HEALTH, INC.
- Incorporation date
- 2019-05-22
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 600 W BROADWAY
- Address line 2
- STE 225
- City
- GLENDALE
- State
- CA
- Zip code
- 912041021