MEDICARE: ALTA CARE HOSPICE AND PALLIATIVE CARE 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
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1760838700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTA CARE HOSPICE AND PALLIATIVE CARE INC.

Provider Business Mailing Address
First Line	:	6280 S VALLEY VIEW BLVD STE 122
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3814
Country	:	US
Telephone Number	:	702-522-8803
Fax Number	:	702-522-9483

Provider Business Practice Location Address
First Line	:	6280 S VALLEY VIEW BLVD STE 122
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3814
Country	:	US
Telephone Number	:	702-522-8803
Fax Number	:	702-522-9483

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILMER AQUINO COMAHIG
Credential	:
Telephone Number	:	702-522-8803

Provider Enumeration Date	:	05/09/2016
Last Update Date	:	04/20/2024

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