Grace Hospice of Nevada LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

NV20181348397 Issued in NV

Legal business name

GRACE HOSPICE OF NEVADA LLC

Practice address

2330 Paseo del Prado Ste C201
Las Vegas, NV 89102-4376

Phone

(702) 201-1807

Fax

(725) 307-8717

NPI assigned

Jun 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Demetrio Encabo, RN

Title

Other

Phone

(702) 201-1807

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291570

Legal name

GRACE HOSPICE OF NEVADA LLC

Doing business as

CHS HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 4, 2020

Last certification

May 4, 2020

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

May 15, 2018 in NV

Enrollment address

2330 Paseo del Prado
Ste C201
Las Vegas, NV 89102-4376

Listed as

Grace Hospice of Nevada LLCCCN 291570

Ownership

Other

Certified

May 4, 2020

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 10

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 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Luzviminda Alexander, APRN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1841632437

  5% Or Greater Indirect Ownership Interest, Corporate Director, Operational/Managerial Control

  CMS ownership
• Wilbert Francis Ching, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1982990115

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luzviminda Alexander, APRN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1841632437
  NPD

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1962996793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 PASEO DEL PRADO STE C201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024376",
            "telephone_number": "702-201-1807",
            "fax_number": "725-307-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 PASEO DEL PRADO STE C201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024376",
            "telephone_number": "702-201-1807",
            "fax_number": "725-307-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOSPICE OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "ENCABO",
        "authorized_official_first_name": "DEMETRIO",
        "authorized_official_title_or_position": "OTHER",
        "authorized_official_telephone_number": "702-201-1807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "NV20181348397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BUSINESS LICENSE",
            "identifier": "NV20181348397",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 16, 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.