MEDICARE: COMPASSION CARE 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	:	1215662440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION CARE HOSPICE LLC

Provider Business Mailing Address
First Line	:	1336 S DECATUR BLVD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8510
Country	:	US
Telephone Number	:	702-338-3890
Fax Number	:

Provider Business Practice Location Address
First Line	:	1336 S DECATUR BLVD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8510
Country	:	US
Telephone Number	:	702-338-3890
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DESHAWN Y BRYANT
Credential	:	RN
Telephone Number	:	702-575-0358

Provider Enumeration Date	:	07/21/2022
Last Update Date	:	06/02/2026

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