- Enrollment id
- O20230510002430
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1093470163
- Multiple npi flag
- N
- Ccn
- 297345
- Associate id
- 6002272473
- Organization name
- DELTAPLUS HOME HEALTHCARE LLC
- Incorporation date
- 2021-10-18
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2320 PASEO DEL PRADO
- Address line 2
- STE B106-B
- City
- LAS VEGAS
- State
- NV
- Zip code
- 89102