Provider Demographics
NPI:1750002036
Name:LOTUS HOSPICE CARE INC
Entity type:Organization
Organization Name:LOTUS HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-567-0001
Mailing Address - Street 1:8020 W SAHARA AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7913
Mailing Address - Country:US
Mailing Address - Phone:725-567-0001
Mailing Address - Fax:725-567-0002
Practice Address - Street 1:8020 W SAHARA AVE STE 215
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7913
Practice Address - Country:US
Practice Address - Phone:725-567-0001
Practice Address - Fax:725-567-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based