- Enrollment id
- O20180529001542
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1417474867
- Multiple npi flag
- N
- Ccn
- 297241
- Associate id
- 8022373844
- Organization name
- NURSES CARE HOME HEALTH LLC
- Incorporation date
- 2017-05-12
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 8290 W SAHARA AVE
- Address line 2
- STE 210
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891178937