Infinity Hospice Care of Las Vegas LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4890HPC-1 Issued in NV

Legal business name

INFINITY HOSPICE CARE OF LAS VEGAS LLC

Practice address

6330 South Jones Boulevard
Las Vegas, NV 89118-3302

Phone

(702) 880-7002

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Darren Raymond Bertram

Title

Chief Executive Officer

Phone

(602) 381-0375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291521

Legal name

INFINITY HOSPICE CARE OF LAS VEGAS LLC

Doing business as

INFINITY HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 20, 2008

Last certification

Mar 10, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 25, 2009 in NV

Enrollment address

6330 S Jones Blvd
Las Vegas, NV 89118-3302

Listed as

Infinity Hospice CareCCN 291521

Ownership

For-Profit

Certified

Mar 20, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Craig M Jorgenson, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1588646830

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 5

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

• Michael John Gale, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1407290968

  Hospice

  Care Compare affiliation
• Sandra Marie Hill, APN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1548885866

  Hospice

  Care Compare affiliation
• Christopher L Igtiben, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1194085308

  Hospice

  Care Compare affiliation
• Craig M Jorgenson, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1588646830

  Hospice

  Care Compare affiliation
• Robert Patrick Wills, DO

  • Pulmonary Disease Physician
  • Henderson, NV
  • NPI 1912369372

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1609040237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 N 40TH ST",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182126",
            "telephone_number": "602-381-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SOUTH JONES BOULEVARD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183302",
            "telephone_number": "702-880-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HOSPICE CARE OF LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-381-0375"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "4890HPC-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.