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NPI Code Detail

MEDICARE: PROCARE HOSPICE OF NEVADA, LLC

MEDICARE: PROCARE HOSPICE OF NEVADA, 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
1363LF0000XFamily Nurse Practitioner
2363L00000XNurse Practitioner
3363LA2100XAcute Care Nurse Practitioner
4363LG0600XGerontology Nurse Practitioner
5207QH0002XHospice and Palliative Medicine (Family Medicine) Physician
6208000000XPediatrics Physician
7207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
8208VP0014XInterventional Pain Medicine Physician
9207R00000XInternal Medicine Physician
10207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1316559081
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROCARE HOSPICE OF NEVADA, LLC
Provider Business Mailing Address
First Line : 8025 AMIGO ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1210
Country : US
Telephone Number : 702-380-8300
Fax Number :
Provider Business Practice Location Address
First Line : 8025 AMIGO ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-1210
Country : US
Telephone Number : 702-380-8300
Fax Number :
Authorized Official
Title or Position : OWNER/CFO
Name : GREGORY WALSKI
Credential :
Telephone Number : 702-380-8300
Provider Enumeration Date : 08/23/2020
Last Update Date : 12/29/2025

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Directions to “PROCARE HOSPICE OF NEVADA, LLC ” Practice Location

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