Provider Demographics
NPI:1689207649
Name:SILVER STATE HOSPICE CARE LLC
Entity Type:Organization
Organization Name:SILVER STATE HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OU
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-825-4500
Mailing Address - Street 1:1771 E FLAMINGO RD STE 120A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0837
Mailing Address - Country:US
Mailing Address - Phone:702-825-4500
Mailing Address - Fax:702-608-8792
Practice Address - Street 1:1771 E FLAMINGO RD STE 120A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0837
Practice Address - Country:US
Practice Address - Phone:702-825-4500
Practice Address - Fax:702-608-8792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based