MEDICARE: SOLACE 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	:	1841877826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLACE CARE LLC

Provider Business Mailing Address
First Line	:	3111 S VALLEY VIEW BLVD STE B217
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7713
Country	:	US
Telephone Number	:	702-503-8100
Fax Number	:	702-444-3992

Provider Business Practice Location Address
First Line	:	3111 S VALLEY VIEW BLVD STE B217
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-7713
Country	:	US
Telephone Number	:	702-576-1211
Fax Number	:	702-965-2987

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JANET RAZ
Credential	:
Telephone Number	:	702-503-8100

Provider Enumeration Date	:	03/26/2021
Last Update Date	:	12/21/2023

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Directions to “SOLACE CARE LLC ” Practice Location

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