Provider Demographics
NPI:1407196090
Name:CAREPRO HOSPICE LLC
Entity Type:Organization
Organization Name:CAREPRO HOSPICE LLC
Other - Org Name:CAREPRO HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:CALIPUSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-879-8413
Mailing Address - Street 1:5280 S EASTERN AVE
Mailing Address - Street 2:SUITE C3
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-2396
Mailing Address - Country:US
Mailing Address - Phone:702-879-8413
Mailing Address - Fax:
Practice Address - Street 1:5280 S EASTERN AVE
Practice Address - Street 2:SUITE C3
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-2396
Practice Address - Country:US
Practice Address - Phone:702-879-8413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based