- Enrollment id
- O20230616000793
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992477129
- Multiple npi flag
- N
- Ccn
- 757564
- Associate id
- 1850759259
- Organization name
- MULTI GROUP HOME CARE, INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 120 N VICTORY BLVD
- Address line 2
- STE 105
- City
- BURBANK
- State
- CA
- Zip code
- 915020001