NPIMap

Organization Active NPI

Divine Hospice LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1336457324
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1010126172-001 Issued in NV
Legal business name
DIVINE HOSPICE LLC
Practice address
5000 W Oakey Blvd Ste A7
Las Vegas, NV 89146-3394
Phone
(702) 242-4663
Fax
(702) 242-4662
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Mr. Fidel Ramos Navata
Title
Ceo
Phone
(702) 242-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 1010126172-001 NV Primary

Addresses

Primary practice location

5000 W Oakey Blvd Ste A7
Las Vegas, NV 89146-3394

Mailing address

5000 W Oakey Blvd Ste A7
Las Vegas, NV 89146-3394
Phone (702) 242-4663

National Provider Directory

National Provider Directory

Locations

5000 W Oakey Blvd
Ste A7
Las Vegas, NV 89146
Phone (702) 242-4663

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1336457324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD STE A7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463394",
            "telephone_number": "702-242-4663",
            "fax_number": "702-242-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD STE A7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463394",
            "telephone_number": "702-242-4663",
            "fax_number": "702-242-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "NAVATA",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-242-4663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "1010126172-001",
            "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 Sep 23, 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.