Healthcare Provider Details
I. General information
NPI: 1578921219
Provider Name (Legal Business Name): COMPASSIONATE HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2016
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6370 W FLAMINGO RD STE 24
LAS VEGAS NV
89103-2277
US
IV. Provider business mailing address
6370 W FLAMINGO RD STE 24
LAS VEGAS NV
89103-2277
US
V. Phone/Fax
- Phone: 702-790-2266
- Fax: 702-586-2227
- Phone: 702-790-2266
- Fax: 702-586-2227
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WG0000X |
| Taxonomy | General Practice Registered Nurse |
| License Number | APRN001480 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WG0000X |
| Taxonomy | General Practice Registered Nurse |
| License Number | APRN001476 |
| License Number State | NV |
VIII. Authorized Official
Name:
OSCAR
ALMERANTE
DEL ROSARIO
Title or Position: PRESIDENT
Credential: APRN
Phone: 702-790-2266