Provider Demographics
NPI:1194828350
Name:SOUTHERN NEVADA HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:SOUTHERN NEVADA HOME HEALTH CARE, INC.
Other - Org Name:KINDRED HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-814-2288
Mailing Address - Street 1:12900 FOSTER ST
Mailing Address - Street 2:STE. 400
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2704
Mailing Address - Country:US
Mailing Address - Phone:913-814-2674
Mailing Address - Fax:
Practice Address - Street 1:9121 W RUSSELL RD
Practice Address - Street 2:STE. 118
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1236
Practice Address - Country:US
Practice Address - Phone:702-228-0282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV6228HPC-6OtherSTATE LICENSE
NV6228HPC-6OtherSTATE LICENSE
NV291517Medicare Oscar/Certification