- Enrollment id
- O20250630004112
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1942929971
- Multiple npi flag
- N
- Ccn
- 758185
- Associate id
- 7315450624
- Organization name
- VLS HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5315 LAUREL CANYON BLVD
- Address line 2
- STE 103B
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916072737