Life Care at Home of Nevada, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4635HPC-0 Issued in NV

Legal business name

LIFE CARE AT HOME OF NEVADA, INC

Practice address

2700 E Sunset Rd
Suite 36D
Las Vegas, NV 89120-3506

Phone

(702) 380-1006

Fax

(702) 380-1142

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Pamela Rau

Title

Vice President Finance

Phone

(423) 473-5280

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AFFINITY HOSPICE OF LIFE Doing business as

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1902847338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5268",
            "fax_number": "423-339-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E SUNSET RD",
            "address_2": "SUITE 36D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203506",
            "telephone_number": "702-380-1006",
            "fax_number": "702-380-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE AT HOME OF NEVADA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "423-473-5280"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "4635HPC-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100515620",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFINITY HOSPICE OF LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.