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NPI Code Detail

MEDICARE: HOSPICE OF LAS VEGAS, INC.

MEDICARE: HOSPICE OF LAS VEGAS, INC.
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
1251G00000XCommunity Based Hospice Care Agency4540HPC-0NV

General Provider Information

NPI Number : 1538101084
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF LAS VEGAS, INC.
Provider Business Mailing Address
First Line : 1200 S 4TH ST
Second Line : STE 100
City : LAS VEGAS
State : NV
Zip : 89104-1046
Country : US
Telephone Number : 702-853-9063
Fax Number :
Provider Business Practice Location Address
First Line : 1200 S 4TH ST
Second Line : STE 100
City : LAS VEGAS
State : NV
Zip : 89104-1046
Country : US
Telephone Number : 702-853-9063
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. HOLLY MONTANO
Credential : RN
Telephone Number : 702-853-9063
Provider Enumeration Date : 06/11/2006
Last Update Date : 08/22/2020

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Directions to “HOSPICE OF LAS VEGAS, INC. ” Practice Location

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