MEDICARE: CARING ONE HOSPICE 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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1932919560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING ONE HOSPICE LLC

Provider Business Mailing Address
First Line	:	6268 SPRING MOUNTAIN RD STE 105D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8874
Country	:	US
Telephone Number	:	702-601-2087
Fax Number	:	725-267-1551

Provider Business Practice Location Address
First Line	:	6268 SPRING MOUNTAIN RD STE 105D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8874
Country	:	US
Telephone Number	:	702-601-2087
Fax Number	:	725-267-1551

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. MARC CO
Credential	:	RN
Telephone Number	:	702-601-2087

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	02/07/2025

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