- Enrollment id
- O20230417002123
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871129288
- Multiple npi flag
- N
- Ccn
- 757636
- Associate id
- 5890166896
- Organization name
- TRUSTED HOME HEALTH CARE SERVICES
- Incorporation date
- 2021-09-13
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 229 N CENTRAL AVE
- Address line 2
- STE 202
- City
- GLENDALE
- State
- CA
- Zip code
- 912033550