- Enrollment id
- O20200309002414
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1619507753
- Multiple npi flag
- N
- Ccn
- 297269
- Associate id
- 3476981267
- Organization name
- MEDIC TOUCH HOME HEALTH CARE LLC
- Incorporation date
- 2019-03-23
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 5600 SPRING MOUNTAIN RD
- Address line 2
- STE 109
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891468822
- Practice location type
- HHA BRANCH