Provider Demographics
NPI:1326619271
Name:AMERICADE PALLIATIVE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:AMERICADE PALLIATIVE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA VISITACION
Authorized Official - Middle Name:AGNES
Authorized Official - Last Name:TESRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-480-7536
Mailing Address - Street 1:3301 SPRING MOUNTAIN ROAD
Mailing Address - Street 2:STE. 12
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-266-7443
Mailing Address - Fax:702-537-8870
Practice Address - Street 1:3301 SPRING MOUNTAIN ROAD
Practice Address - Street 2:STE. 12
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-266-7443
Practice Address - Fax:702-537-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based