ST. AGATHA COMFORT CARE LLC NPI 1871246850

NPI Information

NPI: 1871246850
Provider Name: ST. AGATHA COMFORT CARE LLC
Classification: Registered Nurse - 163WH1000X
Entity Type: Organization

Specialization: Hospice

Address:
11145 S EASTERN AVE STE 140
HENDERSON, NV
ZIP 89052
Phone: (702) 413-7285
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ST. AGATHA COMFORT CARE LLC is a hospice registered nurse in Henderson, NV. ST. AGATHA COMFORT CARE LLC NPI is 1871246850. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11145 S EASTERN AVE STE 140
HENDERSON, NV
ZIP 89052-392
Phone: (702) 413-7285
Fax: (702) 413-7284

The provider's authorized official is Ariel Avila .
The authorized official title is Designee/assistant Administrator and has the following contact phone number (702) 413-7285.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 1/31/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH1000X	Registered Nurse	Hospice			Yes

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: 11/14/2023

NPI Synchronization or Removal

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