MEDICARE: CENTER FOR COMPASSIONATE CARE AND PALLIATIVE SERVICES INSTITUTE

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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1639494867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR COMPASSIONATE CARE AND PALLIATIVE SERVICES INSTITUTE

Provider Business Mailing Address
First Line	:	4131 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

Provider Business Practice Location Address
First Line	:	4131 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	:	03/31/2010
Last Update Date	:	01/26/2022

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