| Organization Name: | OMNI CARE HOSPICE |
| NPI Number: | 1679947337 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AUGUSTINE FARIAS (ADMINISTRATOR/CFP) |
| Mailing Address: | 6225 Dean Martin Dr Las Vegas |
| State: | NV US |
| Postal Code: | 891183803 |
| Phone Number: | 7025095276 |
| Fax Number: | 7029741524 |
| NPI Enumeration Date: | 11/18/2015 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 7955HPC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |