- Enrollment id
- O20041221001068
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992738595
- Multiple npi flag
- N
- Ccn
- 297127
- Associate id
- 7719945799
- Organization name
- CORINTHIANS OF NEVADA HEALTHCARE INC
- Incorporation date
- 2004-10-20
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2001 S RAINBOW BLVD
- Address line 2
- STE 180
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891460816