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NPI Code Detail

MEDICARE: SIERRA HOSPICE & PALLIATIVE CARE OF NEVADA LLC

MEDICARE: SIERRA HOSPICE & PALLIATIVE CARE OF NEVADA 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1811625056
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIERRA HOSPICE & PALLIATIVE CARE OF NEVADA LLC
Provider Business Mailing Address
First Line : 2222 W PARKSIDE LN STE 109
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-1260
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9183 W FLAMINGO RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6464
Country : US
Telephone Number : 602-653-7816
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. PHILLIP GALLINARO
Credential :
Telephone Number : 602-653-7816
Provider Enumeration Date : 08/14/2022
Last Update Date : 08/14/2022

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Directions to “SIERRA HOSPICE & PALLIATIVE CARE OF NEVADA LLC ” Practice Location

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