GRACE HOSPICE OF NEVADA LLC NPI 1962996793

NPI Information

NPI: 1962996793
Provider Name: GRACE HOSPICE OF NEVADA LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 29D2175733

Address:
5600 SPRING MOUNTAIN RD STE 204
LAS VEGAS, NV
ZIP 89146
Phone: (702) 299-6068
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GRACE HOSPICE OF NEVADA LLC is a hospice care community based in Las Vegas, NV. GRACE HOSPICE OF NEVADA LLC NPI is 1962996793. The provider is registered as an organization entity type.

The provider's business location address is:

5600 SPRING MOUNTAIN RD STE 204
LAS VEGAS, NV
ZIP 89146-823
Phone: (702) 299-6068
Fax: (702) 947-4877

The provider's authorized official is Jenifer Fuentes Buna .
The authorized official title is Administrator and has the following contact phone number (702) 299-6068.

The CLIA number assigned to this NPI record is 29D2175733 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2018 and was last updated on 8/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		NV20181348397	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NV20181348397	OTHER	NEVADA	NEVADA STATE BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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