Provider Demographics
NPI:1477326825
Name:MOTHER OF PERPETUAL HELP HOSPICE, INC.
Entity Type:Organization
Organization Name:MOTHER OF PERPETUAL HELP HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FITZ
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLAREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-981-8877
Mailing Address - Street 1:2975 S RAINBOW BLVD STE E3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6218
Mailing Address - Country:US
Mailing Address - Phone:702-858-0235
Mailing Address - Fax:
Practice Address - Street 1:2975 S RAINBOW BLVD STE E3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6218
Practice Address - Country:US
Practice Address - Phone:702-858-0235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based