Provider Demographics
NPI:1699469247
Name:REVERENT HOSPICE CARE INC
Entity type:Organization
Organization Name:REVERENT HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALDRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-856-7447
Mailing Address - Street 1:11500 S EASTERN AVE STE 150 OFFICE 1523
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11500 S EASTERN AVE STE 150 OFFICE 1523
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-856-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based