- Enrollment id
- O20220422000593
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1972270809
- Multiple npi flag
- N
- Ccn
- 757192
- Associate id
- 8820485881
- Organization name
- VERVE HOME HEALTH CARE INC
- Incorporation date
- 2021-03-05
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 126 S JACKSON ST
- Address line 2
- STE 202
- City
- GLENDALE
- State
- CA
- Zip code
- 912054920