MEDICARE: DESERT VIEW GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1043868144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT VIEW GROUP LLC

Provider Business Mailing Address
First Line	:	3355 SPRING MOUNTAIN RD STE 17
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8632
Country	:	US
Telephone Number	:	702-686-3372
Fax Number	:	702-442-7117

Provider Business Practice Location Address
First Line	:	3355 SPRING MOUNTAIN RD STE 17
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8632
Country	:	US
Telephone Number	:	702-576-1211
Fax Number	:	702-965-2987

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. AMY PAM
Credential	:
Telephone Number	:	702-686-3372

Provider Enumeration Date	:	08/31/2019
Last Update Date	:	12/21/2023

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Directions to “DESERT VIEW GROUP LLC ” Practice Location

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