Provider Demographics
NPI:1750328589
Name:LAS VEGAS SOLARI HOSPICE CARE LLC
Entity Type:Organization
Organization Name:LAS VEGAS SOLARI HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-932-8555
Mailing Address - Street 1:700 E WARM SPRINGS RD
Mailing Address - Street 2:#300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4305
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:5550 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-0566
Practice Address - Country:US
Practice Address - Phone:702-870-0000
Practice Address - Fax:702-870-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1750328589Medicaid
NVV109820Medicare PIN
NV6502050Medicaid