NPI 1093997702 · live from the CMS NPI Registry
Angel City Hospice, INC.
Hospice Care, Community Based in Las Vegas, NV. National Provider Identifier 1093997702, active.
NPI record
| NPI | 1093997702 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 4465 S Buffalo Dr, Suite C, Las Vegas, NV 89147 |
| Practice phone | 702-821-1120 |
| Enumerated | December 4, 2007 |
| Last updated | November 8, 2010 |
| Authorized official | Jone Jade Bautista, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.