MEDICARE: KINDORA 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1922975440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDORA HOSPICE INC

Provider Business Mailing Address
First Line	:	6550 S PECOS RD STE B-143
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2828
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 S PECOS RD STE B-143
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2828
Country	:	US
Telephone Number	:	424-332-2332
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JULIE KHUDAGULYAN
Credential	:
Telephone Number	:	424-332-2332

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	10/20/2025

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Directions to “KINDORA HOSPICE INC ” Practice Location

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