- Enrollment id
- O20070221000632
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1972641579
- Multiple npi flag
- N
- Ccn
- 059095
- Associate id
- 1153423140
- Organization name
- QUEST HOME HEALTH, INC.
- Incorporation date
- 2007-01-11
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 150 E OLIVE AVE
- Address line 2
- STE 116
- City
- BURBANK
- State
- CA
- Zip code
- 915021849