DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GRACE HOSPICE OF NEVADA LLC

MEDICARE: GRACE HOSPICE 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 AgencyNV20181348397NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NV20181348397OTHERNVNEVADA STATE BUSINESS LICENSE

General Provider Information

NPI Number : 1962996793
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACE HOSPICE OF NEVADA LLC
Provider Business Mailing Address
First Line : 2330 PASEO DEL PRADO STE C201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-4376
Country : US
Telephone Number : 702-201-1807
Fax Number : 725-307-8717
Provider Business Practice Location Address
First Line : 2330 PASEO DEL PRADO STE C201
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-4376
Country : US
Telephone Number : 702-201-1807
Fax Number : 725-307-8717
Authorized Official
Title or Position : OTHER
Name : MR. DEMETRIO ENCABO
Credential : RN
Telephone Number : 702-201-1807
Provider Enumeration Date : 06/15/2018
Last Update Date : 01/16/2025

Similar Medicare Providers

1316380298 — CLYDELLE ANNE MARAPAO MPT
Practice Location Address:
2330 PASEO DEL PRADO STE C202
LAS VEGAS, NV
89102-4376
Practice Phone: 24-899-3557
Practice Fax: 702-413-6333
1811322357 — COMPREHENSIVE HEALTH SERVICE LLC
Practice Location Address:
2330 PASEO DEL PRADO STE C202
LAS VEGAS, NV
89102-4376
Practice Phone: 702-489-9355
Practice Fax: 702-413-6333
1881292381 — CHS CARING PROVIDERS LLC
Practice Location Address:
2330 PASEO DEL PRADO STE C201
LAS VEGAS, NV
89102-4376
Practice Phone: 702-489-9355
Practice Fax: 702-413-6333
1073111571 — CHS HOSPICE LLC
Practice Location Address:
2330 PASEO DEL PRADO STE C201
LAS VEGAS, NV
89102-4376
Practice Phone: 702-489-9355
Practice Fax: 702-413-6333
1588019319 — THE MEDICAL TEAM, INC.
Practice Location Address:
400 ANN ST NW , SUITE 104
GRAND RAPIDS, MI
49504-2052
Practice Phone: 616-965-2280
Practice Fax: 616-930-4376
1720557333 — SAINT LUKA HOSPICE, INC.
Practice Location Address:
517 E WILSON AVE STE 103B
GLENDALE, CA
91206-4376
Practice Phone: 818-960-7272
Practice Fax: 818-960-7277

Directions to “GRACE HOSPICE OF NEVADA LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.