- Enrollment id
- O20210604000325
- Enrollment state
- NV
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1952982670
- Multiple npi flag
- N
- Ccn
- 291611
- Associate id
- 5395144711
- Organization name
- SIENA HOSPICE, LLC
- Incorporation date
- 2020-12-09
- Incorporation state
- NV
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 3305 SPRING MOUNTAIN RD
- Address line 2
- STE 22
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891028618