- Enrollment id
- O20160823001454
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568726867
- Multiple npi flag
- N
- Ccn
- 297203
- Associate id
- 0941595425
- Organization name
- COMPREHENSIVE HEALTH CARE LLC
- Doing business as name
- GOLDEN HOME HEALTH NEVADA
- Incorporation date
- 2015-09-15
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3750 S JONES BLVD
- Address line 2
- STE 160
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891032209