- Enrollment id
- O20200728002768
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1982241592
- Multiple npi flag
- N
- Ccn
- 559350
- Associate id
- 6709200496
- Organization name
- RELYABLE HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 4405 W RIVERSIDE DR
- Address line 2
- STE 105
- City
- BURBANK
- State
- CA
- Zip code
- 915054050
- Practice location type
- HHA BRANCH