NPI 1609235050 · live from the CMS NPI Registry
Centennial Group LLC
Hospice Care, Community Based in Las Vegas, NV. National Provider Identifier 1609235050, active.
NPI record
| NPI | 1609235050 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 4535 W Sahara Ave, Suite 108, Las Vegas, NV 89102 |
| Practice phone | 702-527-5553 |
| Mailing address | 8589 Silver Coast St, Las Vegas, NV 89139 |
| Enumerated | February 13, 2016 |
| Last updated | November 10, 2021 |
| Authorized official | Mark Antolin, Manager |
| Other names | Centennial Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 8419HPC-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.