NPIMap

Organization Active NPI

Angel City Hospice, Inc.

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1588998298
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5185HPC-0 Issued in NV
Legal business name
ANGEL CITY HOSPICE, INC.
Practice address
5000 W Oakey Blvd
Suite A6
Las Vegas, NV 89146-3393
Phone
(702) 858-5808
NPI assigned
Sep 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Mrs. Jone Jade Acapulco Bautista
Title
Ceo
Phone
(702) 858-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5185HPC-0 NV Primary

Addresses

Primary practice location

5000 W Oakey Blvd
Suite A6
Las Vegas, NV 89146-3393

Mailing address

5000 W Oakey Blvd
Suite A6
Las Vegas, NV 89146-3393
Phone (702) 858-5808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1588998298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD",
            "address_2": "SUITE A6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463393",
            "telephone_number": "702-858-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W OAKEY BLVD",
            "address_2": "SUITE A6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463393",
            "telephone_number": "702-858-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JONE JADE",
        "authorized_official_middle_name": "ACAPULCO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-858-5808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "5185HPC-0",
            "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 28, 2009; 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.