Provider Demographics
NPI:1457497539
Name:HOSPICE OF LAS VEGAS, INC.
Entity Type:Organization
Organization Name:HOSPICE OF LAS VEGAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-853-9063
Mailing Address - Street 1:5765 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2536
Mailing Address - Country:US
Mailing Address - Phone:702-853-9063
Mailing Address - Fax:
Practice Address - Street 1:5765 S RAINBOW BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2536
Practice Address - Country:US
Practice Address - Phone:702-853-9063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4540HPC-1251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based