- Enrollment id
- O20250910003994
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1861160202
- Multiple npi flag
- N
- Ccn
- 758233
- Associate id
- 4587062096
- Organization name
- UNBELIEVABLE HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 121 W LEXINGTON DR
- Address line 2
- STE L300A
- City
- GLENDALE
- State
- CA
- Zip code
- 912033506
- Practice location type
- HHA BRANCH