Provider Demographics
NPI:1730835141
Name:SUNSET HAVEN HOSPICE CARE LLC
Entity type:Organization
Organization Name:SUNSET HAVEN HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:ROBLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-881-5487
Mailing Address - Street 1:6272 SPRING MOUNTAIN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8876
Mailing Address - Country:US
Mailing Address - Phone:702-499-7848
Mailing Address - Fax:725-235-7488
Practice Address - Street 1:6272 SPRING MOUNTAIN RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8876
Practice Address - Country:US
Practice Address - Phone:702-499-7848
Practice Address - Fax:725-235-7488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient