- Enrollment id
- O20200108002131
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1962920736
- Multiple npi flag
- N
- Ccn
- 559314
- Associate id
- 5597190116
- Organization name
- UNIQUE CARE HOME HEALTH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7321 ATOLL AVE
- Address line 2
- STE 203
- City
- NORTH HOLLYWOOD
- State
- CA
- Zip code
- 916054107