- Enrollment id
- O20210528000700
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1942768288
- Multiple npi flag
- N
- Ccn
- 559564
- Associate id
- 6800200130
- Organization name
- VANGUARD HOME HEALTH CARE INC
- Incorporation date
- 2018-08-23
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4444 W RIVERSIDE DR
- Address line 2
- STE 110
- City
- BURBANK
- State
- CA
- Zip code
- 915054048