- Enrollment id
- O20250307000574
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1821852955
- Multiple npi flag
- N
- Ccn
- 758004
- Associate id
- 1658892500
- Organization name
- WELLNESS PLUS HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3171 LOS FELIZ BLVD
- Address line 2
- STE 202G
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900391536
- Practice location type
- HHA BRANCH