Silver State Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SILVER STATE HOSPICE CARE LLC

Practice address

1771 E Flamingo Rd Ste 120a
Las Vegas, NV 89119-0837

Phone

(702) 825-4500

Fax

(702) 608-8792

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Ou Lee

Title

Administrator

Phone

(702) 825-4500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291577

Legal name

SILVER STATE HOSPICE CARE LLC

Doing business as

SIMITREE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 25, 2020

Last certification

Aug 25, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

1771 E Flamingo Rd
Ste 120a
Las Vegas, NV 89119-0837

Listed as

Silver State Hospice Care, LLCCCN 291577

Ownership

For-Profit

Certified

Aug 25, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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.

• Roy Marie A Margallo, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1538314950

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Roy Marie A Margallo, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1538314950

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1689207649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 120A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190837",
            "telephone_number": "702-825-4500",
            "fax_number": "702-608-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E FLAMINGO RD STE 120A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190837",
            "telephone_number": "702-825-4500",
            "fax_number": "702-608-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "OU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-825-4500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver State Health Services
• Silver State Health Services
• Silver State Home Care LLC
• Silver State Home Health Care, Inc.
• Silver State Home Health Services, LLC
• Silver State Hospice, Inc.
• Silver State Medical Supply LLC
• Silver State Mind Wellness LLC
• Silver State Ocular LLC
• Silver State Pediatric Behavioral Services LLC

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.