| Organization Name: | INFINITY HOSPICE CARE OF LAS VEGAS LLC |
| NPI Number: | 1609040237 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARREN RAYMOND BERTRAM (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 6330 South Jones Boulevard Las Vegas |
| State: | NV US |
| Postal Code: | 891183302 |
| Phone Number: | 7028807002 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 06/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4890HPC-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |