Provider Demographics
NPI:1841815008
Name:SILVER STATE HOSPICE, INC.
Entity type:Organization
Organization Name:SILVER STATE HOSPICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ENSIGN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-348-5090
Mailing Address - Street 1:6325 HARRISON DR STE 8
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4402
Mailing Address - Country:US
Mailing Address - Phone:702-331-6402
Mailing Address - Fax:702-331-5716
Practice Address - Street 1:6325 HARRISON DR STE 8
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4402
Practice Address - Country:US
Practice Address - Phone:702-331-6402
Practice Address - Fax:702-331-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-13
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based