- Enrollment id
- O20241112002663
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1760165773
- Multiple npi flag
- N
- Ccn
- 291716
- Associate id
- 1153855234
- Organization name
- NEW HOPE HOSPICE
- Incorporation date
- 2023-07-14
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8290 W SAHARA AVE
- Address line 2
- STE 190
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891178933