- Enrollment id
- O20250313003683
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1568242584
- Multiple npi flag
- N
- Ccn
- 291713
- Associate id
- 0648792101
- Organization name
- FAMILY COMFORT CARE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3750 S JONES BLVD
- Address line 2
- STE 130
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891032209