CENTENNIAL HOSPICE
NPI 1609235050
Hospice Care, Community Based in Las Vegas, NV

Active since February 13, 2016CLIA 29D2122821 · Waiver
4535 W SAHARA AVE, SUITE 108, LAS VEGAS, NV 89102(702) 527-5553 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2021, Feb 13, 2016 (2 updates tracked since 2016).

About Centennial Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL HOSPICE (NPI 1609235050) is a healthcare organization registered as a hospice care, community based in Las Vegas, Nevada and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists Mark Canlas Antolin, Manager, as its authorized official.

NPPES Registry Identity

NPI1609235050
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCENTENNIAL GROUP LLC
Location Address4535 W SAHARA AVE, SUITE 108Las Vegas, NV 89102-3625
Mailing Address8589 Silver Coast StLas Vegas, NV 89139-6799 · (323) 423-9950 · Fax (702) 965-2987
Organization SubpartNo
Authorized OfficialMark Canlas AntolinManager · (213) 590-4690
Enumeration DateFebruary 13, 2016
Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
NPI 1609235050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in NV · 8419HPC-0
4535 W SAHARA AVE, Las Vegas, NV 89102

Other Names 1

Doing Business AsCentennial Hospice

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2122821

Centennial Hospice · Las Vegas, NV
Active · expires Dec 5, 2026
CLIA Number29D2122821
Laboratory TypeHospice
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorWilbert Ching
Laboratory Phone(702) 527-5553
Laboratory LocationCentennial Hospice5613 S Eastern Ave, Las Vegas, NV 89119
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
4535 W SAHARA AVE, 211
LAS VEGAS, NV 89102
Home Health
4535 W SAHARA AVE, SUITE 108
LAS VEGAS, NV 89102
Home Health
4535 W SAHARA AVE, 100B
LAS VEGAS, NV 89102
In Home Supportive Care
4535 W SAHARA AVE, 211
LAS VEGAS, NV 89102
Home Health
4535 W SAHARA AVE, #112H
LAS VEGAS, NV 89102
Home Health
4535 W SAHARA AVE, 209
LAS VEGAS, NV 89102
In Home Supportive Care
4535 W SAHARA AVE, STE 211 4535 W SAHARA
LAS VEGAS, NV 89102
In Home Supportive Care
4535 W SAHARA AVE
LAS VEGAS, NV 89102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Group LLC's NPI number?

The NPI number for Centennial Group LLC is 1609235050. It was assigned to this organization in the NPPES registry on February 13, 2016. The provider is doing business as Centennial Hospice.

Where is Centennial Group LLC located?

Centennial Group LLC is located at 4535 W Sahara Ave Suite 108, Las Vegas, NV 89102. The listed phone number is (702) 527-5553.

What is Centennial Group LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Centennial Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2122821) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centennial Group LLC was last updated on November 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.