- Enrollment id
- O20191008003785
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1679067037
- Multiple npi flag
- N
- Ccn
- 291571
- Associate id
- 8729319587
- Organization name
- COMPREHENSIVE HOSPICE CARE, LLC
- Doing business as name
- NOT APPLICABLE
- Incorporation date
- 2018-04-23
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3750 S JONES BLVD
- Address line 2
- STE 180
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891032210