Provider Demographics
NPI:1144042672
Name:GARDEN HOMES HOSPICE LLC
Entity type:Organization
Organization Name:GARDEN HOMES HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANCHEZ- MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-885-0925
Mailing Address - Street 1:5000 W OAKEY BLVD STE A10
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3394
Mailing Address - Country:US
Mailing Address - Phone:702-665-5335
Mailing Address - Fax:702-549-8694
Practice Address - Street 1:5000 W OAKEY BLVD STE A10
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3394
Practice Address - Country:US
Practice Address - Phone:702-665-5335
Practice Address - Fax:702-549-8694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based