Provider Demographics
NPI:1235533597
Name:JAZMINE ENTERPRISES LLC
Entity Type:Organization
Organization Name:JAZMINE ENTERPRISES LLC
Other - Org Name:COVENANT HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BASILIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-750-0212
Mailing Address - Street 1:2950 E FLAMINGO RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5209
Mailing Address - Country:US
Mailing Address - Phone:702-750-0212
Mailing Address - Fax:702-750-0242
Practice Address - Street 1:2950 E FLAMINGO RD
Practice Address - Street 2:SUITE K
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5209
Practice Address - Country:US
Practice Address - Phone:702-750-0212
Practice Address - Fax:702-750-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based