CENTENNIAL GROUP LLC NPI 1609235050

NPI Information

  • NPI: 1609235050
  • Provider Name: CENTENNIAL GROUP LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: CENTENNIAL HOSPICE
  • CLIA Number: 29D2122821
  • Address: 4535 W SAHARA AVE
    SUITE 108
    LAS VEGAS, NV
    ZIP 89102
  • Phone: (702) 527-5553

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NPI Details

CENTENNIAL GROUP LLC is a hospice care community based in Las Vegas, NV. CENTENNIAL GROUP LLC NPI is 1609235050. The provider is registered as an organization entity type.
The provider Is Doing Business As Centennial Hospice.

The provider's business location address is:

4535 W SAHARA AVE
SUITE 108
LAS VEGAS, NV
ZIP 89102-625
Phone: (702) 527-5553

The provider's authorized official is Mark Canlas Antolin .
The authorized official title is Manager and has the following contact phone number (213) 590-4690.

The CLIA number assigned to this NPI record is 29D2122821 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2016 and was last updated on 11/10/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based8419HPC-0NEVADAYes

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: 11/21/2025

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