Provider Demographics
NPI:1720316664
Name:LV HOSPICE, LLC
Entity Type:Organization
Organization Name:LV HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASSABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-858-5808
Mailing Address - Street 1:3111 S. VALLEY VIEW BLVD.
Mailing Address - Street 2:SUITE A-216
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-7702
Mailing Address - Country:US
Mailing Address - Phone:702-858-5808
Mailing Address - Fax:
Practice Address - Street 1:3111 S VALLEY VIEW BLVD
Practice Address - Street 2:SUITE A-216
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8317
Practice Address - Country:US
Practice Address - Phone:702-858-5808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based