- Enrollment id
- O20210426000699
- Enrollment state
- NE
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1265018071
- Multiple npi flag
- N
- Ccn
- 281540
- Associate id
- 2769890078
- Organization name
- E HOSPICE GROUP OF NEBRASKA NO 1 LLC
- Doing business as name
- ANGELS CARE HOSPICE
- Incorporation date
- 2020-10-05
- Incorporation state
- TX
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 10838 OLD MILL RD
- Address line 2
- STE 1
- City
- OMAHA
- State
- NE
- Zip code
- 681542649