Galaxy Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

7765HPC-0 Issued in NV

Legal business name

GALAXY HOSPICE, INC

Practice address

4055 Spencer St
Ste 217
Las Vegas, NV 89119-9303

Phone

(702) 988-6789

Fax

(702) 988-8813

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Alphie De Guzman

Title

President

Phone

(510) 364-5158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291546

Legal name

GALAXY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 26, 2016

Last certification

Jul 21, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 20, 2013 in NV

Enrollment address

4055 Spencer St
Ste 217
Las Vegas, NV 89119-5251

Listed as

Galaxy Hospice, IncCCN 291546

Ownership

For-Profit

Certified

May 26, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ireneo Guiking Jr.

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1497328850

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1073925533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 SPENCER ST",
            "address_2": "STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199303",
            "telephone_number": "702-988-6789",
            "fax_number": "702-988-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SPENCER ST",
            "address_2": "STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199303",
            "telephone_number": "702-988-6789",
            "fax_number": "702-988-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "ALPHIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-364-5158"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "7765HPC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Star Galarza, BCBA
• Maria Hilda Galarza
• Jane Galatioto
• Theresa Anne Galaudet, RN
• Angela Galaviz-Meza
• Luis Galban
• Amber Cecile Galbraith, MS MFT
• Amy Galbraith
• Austin Galbraith
• Robin Galbraith

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.