- Enrollment id
- O20070809000736
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1538369897
- Multiple npi flag
- N
- Ccn
- 297185
- Associate id
- 2668563370
- Organization name
- HOME HEALTH ENTERPRISE LLC
- Doing business as name
- CAREPRO HOME HEALTH SERVICES
- Incorporation date
- 2006-05-04
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1771 E FLAMINGO RD
- Address line 2
- STE 208B
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891190853