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NPI Code Detail

MEDICARE: HOSPICE OF VEGAS INC

MEDICARE: HOSPICE OF VEGAS 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1386398683
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF VEGAS INC
Provider Business Mailing Address
First Line : 9510 W SAHARA AVE STE 225
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-8812
Country : US
Telephone Number : 702-843-1353
Fax Number :
Provider Business Practice Location Address
First Line : 9510 W SAHARA AVE STE 225
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-8812
Country : US
Telephone Number : 702-843-1353
Fax Number :
Authorized Official
Title or Position : CEO
Name : THOMAS WILSON FENDER III
Credential :
Telephone Number : 702-237-0216
Provider Enumeration Date : 02/07/2022
Last Update Date : 08/30/2024

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Directions to “HOSPICE OF VEGAS INC ” Practice Location

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