MEDICARE: ONECARE 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	2080H0002X	Pediatric Hospice and Palliative Medicine Physician
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1417580838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONECARE HOSPICE, LLC

Provider Business Mailing Address
First Line	:	3087 E WARM SPRINGS RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3754
Country	:	US
Telephone Number	:	702-463-1011
Fax Number	:	702-463-1219

Provider Business Practice Location Address
First Line	:	3087 E WARM SPRINGS RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3754
Country	:	US
Telephone Number	:	702-463-1011
Fax Number	:	702-463-1219

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ANDREW EDROSA
Credential	:
Telephone Number	:	702-463-1011

Provider Enumeration Date	:	02/13/2020
Last Update Date	:	01/19/2024

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Directions to “ONECARE HOSPICE, LLC ” Practice Location

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