MEDICARE: LAS VEGAS HOSPICE & PALLIATIVE CARE, P.C.

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	:	1659181725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS VEGAS HOSPICE & PALLIATIVE CARE, P.C.

Provider Business Mailing Address
First Line	:	5280 S EASTERN AVE STE A3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-2397
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5280 S EASTERN AVE STE A3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-2397
Country	:	US
Telephone Number	:	310-703-2228
Fax Number	:

Authorized Official
Title or Position	:	CEO/CFO/SECRETARY
Name	:	ARMEN GEVORGYAN
Credential	:
Telephone Number	:	310-703-2228

Provider Enumeration Date	:	01/10/2025
Last Update Date	:	01/10/2025

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