- Enrollment id
- O20200826000092
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1841815008
- Multiple npi flag
- N
- Ccn
- 291583
- Associate id
- 9133546997
- Organization name
- SILVER STATE HOSPICE INC
- Doing business as name
- ELITE HOSPICE
- Incorporation date
- 2019-07-01
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6325 HARRISON DR
- Address line 2
- STE 8
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891204402