- Enrollment id
- O20210813000028
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1972173128
- Multiple npi flag
- N
- Ccn
- 757588
- Associate id
- 9436553427
- Organization name
- WESTMED HOME HEALTH INC
- Incorporation date
- 2021-04-11
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5924 E LOS ANGELES AVE
- Address line 2
- STE P
- City
- SIMI VALLEY
- State
- CA
- Zip code
- 930635526