Lifespan Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFESPAN HOSPICE CARE INC

Practice address

1555 E Flamingo Rd # F-129
Las Vegas, NV 89119-5258

Phone

(725) 433-1177

Fax

(725) 433-1178

NPI assigned

Feb 14, 2022

Last updated

Feb 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Artavazd Gevorgyan

Title

Ceo

Phone

(725) 433-1177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982359469. Details of each certification follow.

• CCN 291704 Hospice · Active · Details

Hospice certification: CCN 291704

Legal name

LIFESPAN HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 28, 2025

Last certification

Feb 21, 2025

Organization structure

CorporationProprietary

Enrollment address

1555 E Flamingo Rd
Ste F129
Las Vegas, NV 89119-5258

Listed as

Lifespan Hospice Care IncCCN 291704 · All quality measures

Certified

Feb 28, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Pranav Rajendra Barve, M.D.

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1972899839

  W-2 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, and the practitioner matching its NPPES authorized official.

• Pranav Rajendra Barve, M.D.

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1972899839
  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1982359469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E FLAMINGO RD # F-129",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195258",
            "telephone_number": "725-433-1177",
            "fax_number": "725-433-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E FLAMINGO RD # F-129",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195258",
            "telephone_number": "725-433-1177",
            "fax_number": "725-433-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "ARTAVAZD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-433-1177"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.