Provider Demographics
NPI:1326198532
Name:XL HOSPICE, INC.
Entity Type:Organization
Organization Name:XL HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:BRINTNALL
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-423-9511
Mailing Address - Street 1:139 KEDDIE ST
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-2820
Mailing Address - Country:US
Mailing Address - Phone:775-423-5911
Mailing Address - Fax:775-423-9211
Practice Address - Street 1:139 KEDDIE ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-2820
Practice Address - Country:US
Practice Address - Phone:775-423-5911
Practice Address - Fax:775-423-9211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4327HPC-2251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV29-1515Medicare ID - Type Unspecified