MEDICARE: FAMILY HOME HOSPICE, INC.

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	315D00000X	Inpatient Hospice
2	251G00000X	Community Based Hospice Care Agency	674HPC-10	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	674HPC-10	OTHER	NV	BUSINESS LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093793028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HOME HOSPICE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-579-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 N TENAYA WAY STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0424
Country	:	US
Telephone Number	:	702-560-2821
Fax Number	:	702-667-4607

Authorized Official
Title or Position	:	ASSOCIATE DIRECTOR
Name	:	EMILY CASTILLO
Credential	:
Telephone Number	:	702-480-2550

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	11/04/2025

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Directions to “FAMILY HOME HOSPICE, INC. ” Practice Location

Language	Start Address	Practice Location

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