- Enrollment id
- O20190923002759
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1912494832
- Multiple npi flag
- N
- Ccn
- 559174
- Associate id
- 6800126590
- Organization name
- SAFECO HOME HEALTH SERVICES INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6850 VAN NUYS BLVD
- Address line 2
- STE 208
- City
- VAN NUYS
- State
- CA
- Zip code
- 914054629