- Enrollment id
- O20230523001488
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871245373
- Multiple npi flag
- N
- Ccn
- 757836
- Associate id
- 3072979764
- Organization name
- EXPLICIT COMFORT HOME HEALTH CARE, INC.
- Incorporation date
- 2021-12-20
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 539 N GLENOAKS BLVD
- Address line 2
- STE 305
- City
- BURBANK
- State
- CA
- Zip code
- 915023213