- Enrollment id
- O20211008002082
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1881271823
- Multiple npi flag
- N
- Ccn
- 757023
- Associate id
- 9234537069
- Organization name
- ASPET HOME HEALTH
- Incorporation date
- 2021-02-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4605 LANKERSHIM BLVD
- Address line 2
- STE 601
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916021862