- Enrollment id
- O20180613001843
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1851742308
- Multiple npi flag
- N
- Ccn
- 553134
- Associate id
- 7416202510
- Organization name
- SAINT RITA HOME HEALTH CARE INC
- Incorporation date
- 2016-03-16
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 171 N ALTADENA DR
- Address line 2
- STE 225
- City
- PASADENA
- State
- CA
- Zip code
- 911077319