- Enrollment id
- O20090709000616
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1699909077
- Multiple npi flag
- N
- Ccn
- 297176
- Associate id
- 9931251618
- Organization name
- MEADOWS HOME HEALTH SERVICES, LLC.
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1641 E FLAMINGO RD
- Address line 2
- STE 8
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891195257