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NPI Code Detail

MEDICARE: NEVADA HOSPICE CARE,LLC

MEDICARE: NEVADA HOSPICE CARE,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
1251G00000XCommunity Based Hospice Care Agency7518HPC-1NV

General Provider Information

NPI Number : 1134551930
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA HOSPICE CARE,LLC
Provider Business Mailing Address
First Line : 6960 OBANNON DR
Second Line : SUITE 130
City : LAS VEGAS
State : NV
Zip : 89117-2850
Country : US
Telephone Number : 702-912-0500
Fax Number : 702-912-0504
Provider Business Practice Location Address
First Line : 6960 OBANNON DR
Second Line : SUITE 130
City : LAS VEGAS
State : NV
Zip : 89117-2850
Country : US
Telephone Number : 702-912-0500
Fax Number : 702-912-0504
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. GREGORY N. BECKER
Credential :
Telephone Number : 702-498-0267
Provider Enumeration Date : 08/02/2013
Last Update Date : 02/11/2015

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Directions to “NEVADA HOSPICE CARE,LLC ” Practice Location

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