MEDICARE: NATHAN ADELSON HOSPICE 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
1	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	20090616100099350	NV
2	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician
3	251G00000X	Community Based Hospice Care Agency

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	:	1639147051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATHAN ADELSON HOSPICE INC

Provider Business Mailing Address
First Line	:	4131 UNIVERSITY CENTER DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6718
Country	:	US
Telephone Number	:	27-330-3207
Fax Number	:	702-796-3152

Provider Business Practice Location Address
First Line	:	4141 UNIVERSITY CENTER DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6718
Country	:	US
Telephone Number	:	702-733-0320
Fax Number	:	702-796-3152

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	KAREN RUBEL
Credential	:
Telephone Number	:	702-796-3112

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	05/13/2025

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Directions to “NATHAN ADELSON HOSPICE INC ” Practice Location

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