Provider Demographics
NPI:1740172154
Name:AMG HOSPICE OF LAS VEGAS LLC
Entity type:Organization
Organization Name:AMG HOSPICE OF LAS VEGAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:FENDER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:702-237-0216
Mailing Address - Street 1:9510 W SAHARA AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8812
Mailing Address - Country:US
Mailing Address - Phone:702-843-1353
Mailing Address - Fax:702-843-1363
Practice Address - Street 1:9510 W SAHARA AVE STE 225
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8812
Practice Address - Country:US
Practice Address - Phone:702-843-1353
Practice Address - Fax:702-843-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based