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PHYSICIANS CHOICE HOSPICE LLC NPI 1841296795


NPI Information

NPI: 1841296795
Provider Name: PHYSICIANS CHOICE HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 29D2240228

Address:
6720 VIA AUSTI PARKWAY
SUITE #250
LAS VEGAS, NV
ZIP 89119
Phone: (702) 563-1717
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PHYSICIANS CHOICE HOSPICE LLC is a hospice care community based in Las Vegas, NV. PHYSICIANS CHOICE HOSPICE LLC NPI is 1841296795. The provider is registered as an organization entity type.

The provider's business location address is:

6720 VIA AUSTI PARKWAY
SUITE #250
LAS VEGAS, NV
ZIP 89119-568
Phone: (702) 563-1717
Fax: (702) 563-1718

The provider's authorized official is Robert Wren .
The authorized official title is President and has the following contact phone number (702) 563-1717.

The CLIA number assigned to this NPI record is 29D2240228 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 8/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based679HPC-13NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1764391MEDICAIDARIZONA
2006402020MEDICAIDNEVADA
3006502020MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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