- Enrollment id
- O20161230000375
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1851847545
- Multiple npi flag
- N
- Ccn
- 559352
- Associate id
- 9830470020
- Organization name
- EMBER HOME HEALTH INC
- Incorporation date
- 2016-02-01
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1110 SONORA AVE
- Address line 2
- STE 106
- City
- GLENDALE
- State
- CA
- Zip code
- 912013170