Provider Demographics
NPI:1124360052
Name:247 HOSPICE LAS VEGAS INC
Entity Type:Organization
Organization Name:247 HOSPICE LAS VEGAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DPCS
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTROMAYOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-297-8888
Mailing Address - Street 1:16027 BROOKHURST ST
Mailing Address - Street 2:I-341
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-1551
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3651 LINDELL RD
Practice Address - Street 2:STE K
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-1254
Practice Address - Country:US
Practice Address - Phone:702-297-8888
Practice Address - Fax:702-988-8813
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:24-7 HEALTHCARE SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-18
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based