Provider Demographics
NPI:1346842689
Name:ASPEN HOSPICE AND PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:ASPEN HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-500-5757
Mailing Address - Street 1:170 S GREEN VALLEY PKWY STE 300-340
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-3132
Mailing Address - Country:US
Mailing Address - Phone:725-500-5757
Mailing Address - Fax:725-500-5757
Practice Address - Street 1:170 S GREEN VALLEY PKWY STE 300-340
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-3132
Practice Address - Country:US
Practice Address - Phone:725-500-5757
Practice Address - Fax:725-500-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based