- Enrollment id
- O20230505000687
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1871247957
- Multiple npi flag
- N
- Ccn
- 757622
- Associate id
- 1850756313
- Organization name
- HOME HEALTH OF VENTURA, INC.
- Incorporation date
- 2021-11-19
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9420 TOPANGA CANYON BLVD
- Address line 2
- STE 202
- City
- CHATSWORTH
- State
- CA
- Zip code
- 913115759