Provider Demographics
NPI:1336860618
Name:AMORE HOSPICE CARE
Entity Type:Organization
Organization Name:AMORE HOSPICE CARE
Other - Org Name:AMORE HOSPICE CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/ COO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON-MACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-858-3574
Mailing Address - Street 1:3821 W CHARLESTON BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1863
Mailing Address - Country:US
Mailing Address - Phone:702-858-3574
Mailing Address - Fax:
Practice Address - Street 1:3821 W CHARLESTON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1863
Practice Address - Country:US
Practice Address - Phone:702-858-3574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based