- Enrollment id
- O20080926000095
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1972786010
- Multiple npi flag
- N
- Ccn
- 297168
- Associate id
- 9931276375
- Organization name
- LAS VEGAS HOME HEALTH CARE, INC.
- Incorporation date
- 2007-08-21
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3153 E WARM SPRINGS RD
- Address line 2
- STE 100
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891203142