Organization Name: | NEVADA HOSPICE CARE,LLC |
NPI Number: | 1134551930 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY N. BECKER (MANAGING MEMBER) |
Mailing Address: | 6960 Obannon Dr Suite 130 Las Vegas |
State: | NV US |
Postal Code: | 891172850 |
Phone Number: | 7029120500 |
Fax Number: | 7029120504 |
NPI Enumeration Date: | 08/02/2013 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 7518HPC-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |