- Enrollment id
- O20220406000082
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1922618578
- Multiple npi flag
- N
- Ccn
- 757291
- Associate id
- 1052707742
- Organization name
- ALL AMERICAN HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 315 ARDEN AVE
- Address line 2
- STE 25
- City
- GLENDALE
- State
- CA
- Zip code
- 912031153