- Enrollment id
- O20240731003726
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1962152512
- Multiple npi flag
- N
- Ccn
- 757816
- Associate id
- 1254878853
- Organization name
- TOTAL CARE HEALTHCARE SERVICES INC
- Incorporation date
- 2022-02-24
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 10117 SEPULVEDA BLVD
- Address line 2
- STE 203B
- City
- MISSION HILLS
- State
- CA
- Zip code
- 913452600
- Practice location type
- HHA BRANCH