Silver State Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SILVER STATE HOSPICE, INC.

Practice address

6325 Harrison Dr Ste 8
Las Vegas, NV 89120-4402

Phone

(702) 331-6402

Fax

(702) 331-5716

NPI assigned

Jun 13, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jason Ensign

Title

Director

Phone

(702) 348-5090

Specialties & licenses 1

Addresses

Other names 2

• Elite Hospice Doing business as
• Silver State Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291583

Legal name

SILVER STATE HOSPICE INC

Doing business as

ELITE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 10, 2021

Last certification

Jul 10, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 1, 2019 in NV

Enrollment address

6325 Harrison Dr
Ste 8
Las Vegas, NV 89120-4402

Listed as

Elite HospiceCCN 291583

Ownership

For-Profit

Certified

Jul 10, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Affiliated clinicians 2

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

• Maria Tessie Aroma Beduya-Princer, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1649249608

  Hospice

  Care Compare affiliation
• Maria Pilar Faylona, M.D. P.C.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1770677676

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1841815008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HARRISON DR STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204402",
            "telephone_number": "702-331-6402",
            "fax_number": "702-331-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HARRISON DR STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204402",
            "telephone_number": "702-331-6402",
            "fax_number": "702-331-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-13",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "ENSIGN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-348-5090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver State Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silver State Health Services
• Silver State Home Care LLC
• Silver State Home Health Care, Inc.
• Silver State Home Health Services, LLC
• Silver State Hospice Care LLC
• Silver State Medical Supply LLC
• Silver State Mind Wellness LLC
• Silver State Ocular LLC
• Silver State Pediatric Behavioral Services 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 Feb 1, 2022; 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.