- Enrollment id
- O20240807001709
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1831867902
- Multiple npi flag
- N
- Ccn
- 757970
- Associate id
- 2264897552
- Organization name
- GOOD ONE HOME HEALTH CARE INC
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7590 N GLENOAKS BLVD
- Address line 2
- STE 11
- City
- BURBANK
- State
- CA
- Zip code
- 915041003
- Practice location type
- HHA BRANCH