Dedicated Hospice Care, Inc.
Organization Active NPI Community Based Hospice Care Agency · Las Vegas, NV
NPI 1720437486 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1720437486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- NV20161239330 (NV)
- Legal business name
- DEDICATED HOSPICE CARE, INC.
- Practice address
- 2780 S Jones Blvd Ste 215
Las Vegas, NV 89146-5659 - Phone
- (702) 405-0902
- Fax
- (702) 405-0910
- NPI assigned
- Jun 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Roza Spartalian
- Title
- President
- Phone
- (702) 405-0902
Affiliated clinicians 2
-
Daniel Itano, D.O.
Medicare Care Compare: Hospice
- Listed as
- Dedicated Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Dec 15, 2017
- Medicare certification status
- Terminated Voluntary: merger or closure, May 11, 2026
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2131952 | Dedicated Hospice Care Inc | Certificate of waiver | Jun 7, 2027 |
National Provider Directory
Locations
5300 W Sahara Ave
Ste 202
Las Vegas, NV 89146
Phone (702) 405-0902
2780 S Jones Blvd
Ste 215
Las Vegas, NV 89146
Phone (702) 405-0902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NV20161239330 | NV | Yes |
Addresses
Primary practice location
2780 S Jones Blvd Ste 215
Las Vegas, NV 89146-5659
Mailing address
2780 S Jones Blvd Ste 215
Las Vegas, NV 89146-5659
Phone (702) 405-0902
Other providers in Las Vegas, NV
- Kimberly Decovich
- Samia Mercedes Decubas
- Barbara Dedeaux
- Tonya Dedera
- Dedicated Caring Medical Transportation, LLC
- Kittia Dedtaryoon
- Alma Dedushi
- Kodzo Dedzi
- James Dee
- La Fonda Renee Dee
All providers in Las Vegas, NV · Community Based Hospice Care Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.