- Enrollment id
- O20220311000375
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1902577612
- Multiple npi flag
- N
- Ccn
- 297318
- Associate id
- 0749675668
- Organization name
- FAMILY COMFORT HOME HEALTH INC
- Incorporation date
- 2021-09-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2675 S JONES BLVD
- Address line 2
- STE 208
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891465610