NPIMap

Organization Active NPI

Procare Hospice of Nevada, LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1316559081
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROCARE HOSPICE OF NEVADA, LLC
Practice address
8025 Amigo St
Las Vegas, NV 89123-1210
Phone
(702) 380-8300
NPI assigned
Aug 23, 2020
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PROCARE HOSPICE OF NEVADA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Gregory Walski
Title
Owner/Cfo
Phone
(702) 380-8300

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X
Interventional Pain Medicine Physician 208VP0014X
Nurse Practitioner 363L00000X
Acute Care Nurse Practitioner 363LA2100X
Family Nurse Practitioner 363LF0000X
Gerontology Nurse Practitioner 363LG0600X
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X

Addresses

Primary practice location

8025 Amigo St
Las Vegas, NV 89123-1210

Mailing address

8025 Amigo St
Las Vegas, NV 89123-1210
Phone (702) 380-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130608000093 NV Part B Supplier - Clinic/Group Practice 3971754805 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Procare Hospice of Nevada LLC

Locations

7469 W Lake Mead Blvd
Ste 200
Las Vegas, NV 89128
Phone (702) 380-8300

7477 W Lake Mead Blvd
Ste 260
Las Vegas, NV 89128
Phone (702) 318-7920

9811 W Charleston Blvd
Ste 2628
Las Vegas, NV 89117

1480 E Calvada Blvd
#900A
Pahrump, NV 89048
Phone (775) 727-0111

1480 E Calvada Blvd
Ste 900A
Pahrump, NV 89048
Phone (775) 727-0111

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1316559081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 AMIGO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231210",
            "telephone_number": "702-380-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 AMIGO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231210",
            "telephone_number": "702-380-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOSPICE OF NEVADA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROCARE HOSPICE OF NEVADA, LLC",
        "enumeration_date": "2020-08-23",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "WALSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "702-380-8300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.