- Enrollment id
- O20130320000673
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1407196090
- Multiple npi flag
- N
- Ccn
- 291547
- Associate id
- 6901041037
- Organization name
- CAREPRO HOSPICE LLC
- Incorporation date
- 2013-02-08
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1771 E FLAMINGO RD
- Address line 2
- STE 208B
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891190853