CCN: 757525 NPI: 1427716737 Organization

Aqua Home Health Care, Inc.

5535 BALBOA BLVD STE 103
ENCINO, CA 913161575

Contact Information

Phone 7478003871
Fax 7478003874
Enumeration Date 2021-12-03
Last Updated 2021-12-03

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

censusDivision 9

cbsaActualGeographicLocation 31084

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 36

specialPaymentIndicator

carrierCode 01182

localityCode 18