- Enrollment id
- O20240409000961
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821718750
- Multiple npi flag
- N
- Ccn
- 757912
- Associate id
- 7618315755
- Organization name
- WORLD CLASS HOME HEALTHCARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6320 VAN NUYS BLVD
- Address line 2
- STE 200
- City
- VAN NUYS
- State
- CA
- Zip code
- 914012617