- Enrollment id
- O20220331000479
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1114671054
- Multiple npi flag
- N
- Ccn
- 291630
- Associate id
- 4981090917
- Organization name
- A CARING HEART HEALTHCARE SERVICES LLC
- Doing business as name
- A CARING HEART HOSPICE AND PALLIATIVE CARE
- Incorporation date
- 2020-05-18
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1500 E TROPICANA AVE
- Address line 2
- STE 112 RM 1
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891196515