- Enrollment id
- O20240322000346
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1043968977
- Multiple npi flag
- N
- Ccn
- 291688
- Associate id
- 1052798667
- Organization name
- NURSES CARE HOSPICE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1500 E TROPICANA AVE
- Address line 2
- STE 174
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891198317