MEDICARE: ACCORD HOSPICE SERVICES 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	:	1548988074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCORD HOSPICE SERVICES LLC

Provider Business Mailing Address
First Line	:	3305 SPRING MOUNTAIN RD STE 42
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8622
Country	:	US
Telephone Number	:	725-204-0672
Fax Number	:

Provider Business Practice Location Address
First Line	:	3305 SPRING MOUNTAIN RD STE 42
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8622
Country	:	US
Telephone Number	:	725-204-0672
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA-ANGELITA TOLENTINO
Credential	:
Telephone Number	:	725-204-0672

Provider Enumeration Date	:	08/19/2022
Last Update Date	:	11/26/2022

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