MEDICARE: NEVADA HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1073235016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA HOSPICE LLC

Provider Business Mailing Address
First Line	:	7260 W AZURE DR # 140-1014
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-7999
Country	:	US
Telephone Number	:	775-513-3852
Fax Number	:

Provider Business Practice Location Address
First Line	:	3037 E WARM SPRINGS RD # A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3758
Country	:	US
Telephone Number	:	775-513-3852
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BAYINK FALTER
Credential	:	NP
Telephone Number	:	775-513-3852

Provider Enumeration Date	:	09/15/2022
Last Update Date	:	09/15/2022

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Directions to “NEVADA HOSPICE LLC ” Practice Location

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