- Enrollment id
- O20040416001517
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1972559961
- Multiple npi flag
- N
- Ccn
- 057517
- Associate id
- 8820900798
- Organization name
- ACCENTCARE HOME HEALTH OF CALIFORNIA INC
- Incorporation date
- 1993-02-26
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3170 CROW CANYON PL
- Address line 2
- STE 270
- City
- SAN RAMON
- State
- CA
- Zip code
- 945831157