Provider Demographics
NPI:1952698151
Name:702 HOSPICE CORP
Entity Type:Organization
Organization Name:702 HOSPICE CORP
Other - Org Name:SUNSET HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-534-7840
Mailing Address - Street 1:3305 SPRING MOUNTAIN RD STE 40
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8622
Mailing Address - Country:US
Mailing Address - Phone:702-534-7840
Mailing Address - Fax:
Practice Address - Street 1:3305 SPRING MOUNTAIN RD
Practice Address - Street 2:40
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8609
Practice Address - Country:US
Practice Address - Phone:702-534-7840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based