MEDICARE: BEST HOME CARE AT WYOMING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1013796408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST HOME CARE AT WYOMING LLC

Provider Business Mailing Address
First Line	:	4423 E WYOMING AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-5653
Country	:	US
Telephone Number	:	702-405-6543
Fax Number	:

Provider Business Practice Location Address
First Line	:	4423 E WYOMING AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-5653
Country	:	US
Telephone Number	:	702-405-6543
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LUIGI FAIGAL
Credential	:
Telephone Number	:	702-569-1244

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	04/03/2024

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