Healthcare Provider Details

I. General information

NPI: 1710643648
Provider Name (Legal Business Name): TRINE HOSPICE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 S PECOS RD STE 118
LAS VEGAS NV
89120-2829
US

IV. Provider business mailing address

6550 S PECOS RD STE 118
LAS VEGAS NV
89120-2829
US

V. Phone/Fax

Practice location:
  • Phone: 626-233-2148
  • Fax:
Mailing address:
  • Phone: 626-233-2148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA YUTEC
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 702-232-6843