NPIMap

Organization Active NPI

Angel City Hospice, Inc.

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1093997702
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANGEL CITY HOSPICE, INC.
Practice address
4465 S Buffalo Dr
Suite C
Las Vegas, NV 89147-6231
Phone
(702) 821-1120
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Jone Jade Bautista
Title
President
Phone
(714) 264-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4465 S Buffalo Dr
Suite C
Las Vegas, NV 89147-6231

Mailing address

4465 S Buffalo Dr
Suite C
Las Vegas, NV 89147-6231
Phone (702) 821-1120

National Provider Directory

National Provider Directory

Locations

4465 S Buffalo Dr
Ste C
Las Vegas, NV 89147
Phone (702) 821-1120

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1093997702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 S BUFFALO DR",
            "address_2": "SUITE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476231",
            "telephone_number": "702-821-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 S BUFFALO DR",
            "address_2": "SUITE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476231",
            "telephone_number": "702-821-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JONE JADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-264-1620"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.