Healthcare Provider Details

I. General information

NPI: 1811535859
Provider Name (Legal Business Name): HOPE COMPASSIONATE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S RANCHO DR STE D34
LAS VEGAS NV
89106-4874
US

IV. Provider business mailing address

601 S RANCHO DR STE D34
LAS VEGAS NV
89106-4874
US

V. Phone/Fax

Practice location:
  • Phone: 702-471-0051
  • Fax: 702-471-0107
Mailing address:
  • Phone: 702-445-5653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN MOLDOVAN
Title or Position: CFO
Credential:
Phone: 702-471-0051