MEDICARE: LV HOSPICE AND PALLIATIVE 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	:	1881327328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LV HOSPICE AND PALLIATIVE CARE INC

Provider Business Mailing Address
First Line	:	8925 S PECOS RD STE 16A
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7153
Country	:	US
Telephone Number	:	818-621-6251
Fax Number	:

Provider Business Practice Location Address
First Line	:	8925 S PECOS RD STE 16A
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7153
Country	:	US
Telephone Number	:	818-621-6251
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GAGIK SINDOYAN
Credential	:
Telephone Number	:	818-621-6251

Provider Enumeration Date	:	07/01/2022
Last Update Date	:	07/01/2022

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