- Enrollment id
- O20241206002405
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1386401164
- Multiple npi flag
- N
- Ccn
- 291724
- Associate id
- 1557897048
- Organization name
- CARE OASIS OF SOUTHERN NEVADA LLC
- Doing business as name
- CARE OASIS HOSPICE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6787 W TROPICANA AVE
- Address line 2
- STE 263
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891034348