- Enrollment id
- O20230605001973
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1649983636
- Multiple npi flag
- N
- Ccn
- 297334
- Associate id
- 5597121137
- Organization name
- DEL PILAR HEALTH SYSTEMS LLC
- Incorporation date
- 2021-11-11
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2320 PASEO DEL PRADO
- Address line 2
- B201E
- City
- LAS VEGAS
- State
- NV
- Zip code
- 89102