Provider Demographics
NPI:1679245765
Name:HEALING PATH HOSPICE CARE INC
Entity type:Organization
Organization Name:HEALING PATH HOSPICE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-339-8747
Mailing Address - Street 1:11242 SAN TERRAZO PL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-6086
Mailing Address - Country:US
Mailing Address - Phone:702-339-8747
Mailing Address - Fax:702-982-8125
Practice Address - Street 1:6069 S FORT APACHE RD STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5579
Practice Address - Country:US
Practice Address - Phone:702-982-8266
Practice Address - Fax:702-982-8125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based