Organization
VISTA HOSPICE CARE, LLC
Active
Other names
Gentiva
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VP OF LICENSURE)
(704) 662-1761
Entity
Organization
Contact information
Practice address
9484 DOUBLE R BLVD STE A, RENO, NV 89521-2993
(775) 825-5008
(775) 853-4593
Mailing address
PO BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006416005
—
NV
05
—
6516005HOSP
—
NV
Enumeration date
05/24/2006
Last updated
01/11/2023
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