Provider Demographics
NPI:1639494867
Name:CENTER FOR COMPASSIONATE CARE AND PALLIATIVE SERVICES INSTITUTE
Entity Type:Organization
Organization Name:CENTER FOR COMPASSIONATE CARE AND PALLIATIVE SERVICES INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-796-3112
Mailing Address - Street 1:4131 UNIVERSITY CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6718
Mailing Address - Country:US
Mailing Address - Phone:702-733-0320
Mailing Address - Fax:702-796-3152
Practice Address - Street 1:4131 UNIVERSITY CENTER DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6718
Practice Address - Country:US
Practice Address - Phone:702-733-0320
Practice Address - Fax:702-796-3152
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATHAN ADELSON HOSPICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-31
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20090616100099350207LH0002X
207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty
No207LH0002XAllopathic & Osteopathic PhysiciansAnesthesiologyHospice and Palliative MedicineGroup - Single Specialty