Healthcare Provider Details

I. General information

NPI: 1548506157
Provider Name (Legal Business Name): GLOBAL MED HOSPICE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2012
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 S JONES BLVD
LAS VEGAS NV
89118-0566
US

IV. Provider business mailing address

PO BOX 47090
PHOENIX AZ
85068-7090
US

V. Phone/Fax

Practice location:
  • Phone: 702-471-0205
  • Fax: 702-471-0207
Mailing address:
  • Phone: 702-471-0205
  • Fax: 702-471-0207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number5397-HPC-0
License Number StateNV

VIII. Authorized Official

Name: MRS. SATWANT K BHOWRA
Title or Position: MANAGER
Credential:
Phone: 602-550-4065