MEDICARE: HARVEST 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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1477307999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVEST HOSPICE CARE, LLC

Provider Business Mailing Address
First Line	:	1500 E TROPICANA AVE STE 166
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-8317
Country	:	US
Telephone Number	:	702-292-7254
Fax Number	:	702-505-8808

Provider Business Practice Location Address
First Line	:	1500 E TROPICANA AVE STE 166
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-8317
Country	:	US
Telephone Number	:	702-292-7254
Fax Number	:	702-505-8808

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MERCY LABRADO
Credential	:
Telephone Number	:	702-292-7254

Provider Enumeration Date	:	04/12/2024
Last Update Date	:	04/12/2024

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