MEDICARE: HEALING PATH HOSPICE CARE 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1679245765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING PATH HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	11242 SAN TERRAZO PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-6086
Country	:	US
Telephone Number	:	702-339-8747
Fax Number	:	702-982-8125

Provider Business Practice Location Address
First Line	:	6069 S FORT APACHE RD STE 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5579
Country	:	US
Telephone Number	:	702-982-8266
Fax Number	:	702-982-8125

Authorized Official
Title or Position	:	CEO
Name	:	TIMOTHY BECKETT
Credential	:	MD
Telephone Number	:	702-339-8747

Provider Enumeration Date	:	09/28/2021
Last Update Date	:	02/07/2025

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