- Enrollment id
- O20070622000294
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821027624
- Multiple npi flag
- N
- Ccn
- 058123
- Associate id
- 1052228673
- Organization name
- SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
- Doing business as name
- SUTTER CARE AT HOME
- Incorporation date
- 1908-05-13
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1670 S AMPHLETT BLVD
- Address line 2
- STE 300A
- City
- SAN MATEO
- State
- CA
- Zip code
- 944022510