Provider Demographics
NPI:1568185577
Name:THALIA HOSPICE CARE INC
Entity type:Organization
Organization Name:THALIA HOSPICE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-665-8962
Mailing Address - Street 1:8485 W SUNSET RD STE 208
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2249
Mailing Address - Country:US
Mailing Address - Phone:702-665-8962
Mailing Address - Fax:
Practice Address - Street 1:8485 W SUNSET RD STE 208
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2249
Practice Address - Country:US
Practice Address - Phone:702-665-8962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based