- Enrollment id
- O20221219000278
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1982287181
- Multiple npi flag
- N
- Ccn
- 757315
- Associate id
- 3971972746
- Organization name
- GLENBURB HOME HEALTH INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 17000 VENTURA BLVD
- Address line 2
- STE 207
- City
- ENCINO
- State
- CA
- Zip code
- 913164184