- Enrollment id
- O20220803003824
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992317234
- Multiple npi flag
- N
- Ccn
- 757322
- Associate id
- 4587046727
- Organization name
- ALL STATE PATIENT CARE
- Incorporation date
- 2020-08-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 18345 VENTURA BLVD
- Address line 2
- STE 204
- City
- TARZANA
- State
- CA
- Zip code
- 913564241