Provider Demographics
NPI:1487165684
Name:AMBER CARE HOSPICE, INC
Entity type:Organization
Organization Name:AMBER CARE HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTACIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-476-4937
Mailing Address - Street 1:6655 W. SAHARA AVE
Mailing Address - Street 2:B-108
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:702-476-3350
Mailing Address - Fax:702-476-4937
Practice Address - Street 1:6655 W. SAHARA AVE
Practice Address - Street 2:B-108
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-476-3350
Practice Address - Fax:702-476-4937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based