- Enrollment id
- O20211103000358
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1902363856
- Multiple npi flag
- N
- Ccn
- 291606
- Associate id
- 2365830841
- Organization name
- COMPASSIONATE HOSPICE OF LAS VEGAS INC
- Incorporation date
- 2019-02-11
- Incorporation state
- NV
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5600 SPRING MOUNTAIN RD
- Address line 2
- STE 209
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891468823