CHS Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHS HOSPICE LLC

Practice address

2330 Paseo del Prado Ste C201
Las Vegas, NV 89102-4376

Phone

(702) 489-9355

Fax

(702) 413-6333

NPI assigned

Oct 15, 2020

Last updated

Jul 13, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Demetrio Encabo

Title

Manager

Phone

(702) 489-9355

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1073111571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 PASEO DEL PRADO STE C201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024376",
            "telephone_number": "702-489-9355",
            "fax_number": "702-413-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 PASEO DEL PRADO STE C201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024376",
            "telephone_number": "702-489-9355",
            "fax_number": "702-413-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "ENCABO",
        "authorized_official_first_name": "DEMETRIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-489-9355"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.