Provider Demographics
NPI:1598109886
Name:CARE4LIFE HOSPICE LLC
Entity Type:Organization
Organization Name:CARE4LIFE HOSPICE LLC
Other - Org Name:CARE4LIFE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:G
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-358-6032
Mailing Address - Street 1:8665 W FLAMINGO RD
Mailing Address - Street 2:SUITE 123
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8621
Mailing Address - Country:US
Mailing Address - Phone:702-358-6032
Mailing Address - Fax:702-990-2052
Practice Address - Street 1:8665 W FLAMINGO RD
Practice Address - Street 2:SUITE 123
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8621
Practice Address - Country:US
Practice Address - Phone:702-358-6032
Practice Address - Fax:702-990-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2000268319251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based