MEDICARE: COMPREHENSIVE VALLEY HOSPICE CARE, 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1295496206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE VALLEY HOSPICE CARE, INC.

Provider Business Mailing Address
First Line	:	3430 E FLAMINGO RD STE 224
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5065
Country	:	US
Telephone Number	:	702-331-0667
Fax Number	:	702-331-0980

Provider Business Practice Location Address
First Line	:	3430 E FLAMINGO RD STE 224
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5065
Country	:	US
Telephone Number	:	702-331-0667
Fax Number	:	702-331-0980

Authorized Official
Title or Position	:	CEO
Name	:	ARTUR PETIKYAN
Credential	:
Telephone Number	:	702-331-0667

Provider Enumeration Date	:	01/03/2022
Last Update Date	:	01/03/2022

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