Dahlia Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DAHLIA HOSPICE

Practice address

7881 W Charleston Blvd Ste 190
Las Vegas, NV 89117-8325

Phone

(725) 218-3561

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Mohamed Shahram Marleen

Title

Ceo/Owner

Phone

(408) 772-0753

Specialties & licenses 1

Addresses

Other names 1

• Prohealth Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291642

Legal name

DAHLIA HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 18, 2023

Last certification

Apr 13, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 23, 2021 in NV

Enrollment address

7881 W Charleston Blvd
Ste 190
Las Vegas, NV 89117-8325

Listed as

Dahlia HospiceCCN 291642

Certified

May 18, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• John Mark Geiss, D.O.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1053651497

  5% Or Greater Indirect Ownership Interest, Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1780358333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7881 W CHARLESTON BLVD STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178325",
            "telephone_number": "725-218-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7881 W CHARLESTON BLVD STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178325",
            "telephone_number": "725-218-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHLIA HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "MARLEEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "SHAHRAM",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "408-772-0753"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prohealth Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Ann Dahl, DO
• Kimberly Jayne Dahlberg, PA
• Dolores Banas Dahlen
• Mirna Dahlen
• Craig Dahlheimer
• Kristen Dahlke
• Jonathan Dai, DC
• Michelle Dai, DO
• Nhi Dai, PA
• Wanmei Dai

• 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 Sep 2, 2025; 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.