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General NPI Number Information
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NPI Number | 1770433252
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Entity Type | Organization
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Legal Business Name | HERITAGE HOSPICE OF NEVADA, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1690 WILBUR PL
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City | RENO
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State | NV
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Zip | 89509-3175
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Country | US
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Telephone | 775-742-7028
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Fax |
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Provider Business Mailing Address
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Address Line | 7779 BOULDER FALLS DR
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City | SPARKS
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State | NV
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Zip | 89436-9428
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Country | US
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Telephone | 775-742-7028
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARIA AGNES HALLMARK
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Credential | RFA
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Telephone | 775-742-7028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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