- Enrollment id
- O20210721002730
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1851968168
- Multiple npi flag
- N
- Ccn
- 757373
- Associate id
- 5698178101
- Organization name
- WELLBE HOME HEALTH INC
- Incorporation date
- 2021-05-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5924 E LOS ANGELES AVE
- Address line 2
- STE Q
- City
- SIMI VALLEY
- State
- CA
- Zip code
- 930635526