- Enrollment id
- O20240815001084
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1962151779
- Multiple npi flag
- N
- Ccn
- 757964
- Associate id
- 2769920271
- Organization name
- AMIRA HOME HEALTH CARE INC
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 13701 RIVERSIDE DR
- Address line 2
- STE 612
- City
- SHERMAN OAKS
- State
- CA
- Zip code
- 914232449