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NPI Code Detail

MEDICARE: SUNSET HAVEN HOSPICE CARE LLC

MEDICARE: SUNSET HAVEN HOSPICE CARE 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
1315D00000XInpatient Hospice
2251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1730835141
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSET HAVEN HOSPICE CARE LLC
Provider Business Mailing Address
First Line : 6272 SPRING MOUNTAIN RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-8876
Country : US
Telephone Number : 702-499-7848
Fax Number : 725-235-7488
Provider Business Practice Location Address
First Line : 6272 SPRING MOUNTAIN RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-8876
Country : US
Telephone Number : 702-499-7848
Fax Number : 725-235-7488
Authorized Official
Title or Position : TREASURER
Name : CARLOS MIGUEL ROBLEDO
Credential :
Telephone Number : 702-881-5487
Provider Enumeration Date : 02/24/2022
Last Update Date : 10/24/2024

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Directions to “SUNSET HAVEN HOSPICE CARE LLC ” Practice Location

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