Healthcare Provider Details

I. General information

NPI: 1568185577
Provider Name (Legal Business Name): THALIA HOSPICE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8485 W SUNSET RD STE 208
LAS VEGAS NV
89113-2249
US

IV. Provider business mailing address

8485 W SUNSET RD STE 208
LAS VEGAS NV
89113-2249
US

V. Phone/Fax

Practice location:
  • Phone: 702-665-8962
  • Fax:
Mailing address:
  • Phone: 702-665-8962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JENNIFER GARDEA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 702-665-8962