MEDICARE: GLOBAL MED HOSPICE SERVICES 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	314000000X	Skilled Nursing Facility
2	251G00000X	Community Based Hospice Care Agency	5397-HPC-0	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548506157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL MED HOSPICE SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 47090
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85068-7090
Country	:	US
Telephone Number	:	702-471-0205
Fax Number	:	702-471-0207

Provider Business Practice Location Address
First Line	:	5550 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-0566
Country	:	US
Telephone Number	:	702-471-0205
Fax Number	:	702-471-0207

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. SATWANT K BHOWRA
Credential	:
Telephone Number	:	602-550-4065

Provider Enumeration Date	:	12/31/2012
Last Update Date	:	09/18/2019

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