MEDICARE: COMMUNITY HOSPICE, 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	:	1952094062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOSPICE, INC.

Provider Business Mailing Address
First Line	:	2880 E FLAMINGO RD STE J
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5223
Country	:	US
Telephone Number	:	702-333-1356
Fax Number	:	702-405-0113

Provider Business Practice Location Address
First Line	:	2880 E FLAMINGO RD STE J
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5223
Country	:	US
Telephone Number	:	702-333-1356
Fax Number	:	702-405-0113

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HAROUT BARGHOUTIAN
Credential	:
Telephone Number	:	818-807-7616

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	06/02/2023

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