- Enrollment id
- O20151221000008
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417355256
- Multiple npi flag
- N
- Ccn
- 297227
- Associate id
- 0749581577
- Organization name
- ANGEL'S HOPE HOME HEALTH
- Doing business as name
- ANGEL'S HOPE HOMEHEALTH, INC.
- Incorporation date
- 2014-11-17
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8645 SOUTH EASTERN AVE
- Address line 2
- BLDG 110 STE B
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891232829