Organization Active NPI

Hospice del Sol LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1568643799
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4928HPC-0 Issued in NV
Legal business name
HOSPICE DEL SOL LLC
Practice address
3634 N Rancho Dr
Las Vegas, NV 89130-3166
Phone
(702) 528-4782
Fax
(702) 645-1478
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Mrs. Kelli Toomey Muniz
Title
Administrator
Phone
(702) 528-4782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4928HPC-0 NV Primary

Addresses

Primary practice location

3634 N Rancho Dr
Las Vegas, NV 89130-3166

Mailing address

5538 Duncan Dr
Las Vegas, NV 89130-2812
Phone (702) 528-4782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090311000611 NV Part A Provider - Hospice 4284798919 Practice locations: Las Vegas, NV

Hospice certification: CCN 291524

Legal name
HOSPICE DEL SOL LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 15, 2009
Last certification
Apr 8, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Mar 16, 2007 in NV
Enrollment address
3634 N Rancho Dr
Las Vegas, NV 89130-3149

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice del SolCCN 291524
Ownership
Other
Certified
Jul 15, 2009
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2056954Hospice del Sol LLC3634 N Rancho Dr, Las Vegas, NV 89130Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Locations

5488 Duncan Dr
Las Vegas, NV 89130
Phone (702) 655-0535

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kelli Tooney Muniz Individual 5% Or Greater Direct Ownership InterestPartner Dec 23, 2023 80%
W-2 Managing EmployeePartner Mar 16, 2007 12.5%
Carol Toomey Individual 5% Or Greater Direct Ownership Interest Dec 23, 2023 20%
W-2 Managing Employee Mar 16, 2007 12.5%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1568643799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302812",
            "telephone_number": "702-528-4782",
            "fax_number": "702-645-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303166",
            "telephone_number": "702-528-4782",
            "fax_number": "702-645-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE DEL SOL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "TOOMEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-528-4782",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "4928HPC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.