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NPI Code Detail

MEDICARE: VEGAS VIP HOME CARE LLC

MEDICARE: VEGAS VIP HOME CARE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1023824208
Entity Type Code : Organization
Provider Name (Legal Business Name) : VEGAS VIP HOME CARE LLC
Provider Business Mailing Address
First Line : 2961 E SERENE AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89074-6507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2961 E SERENE AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89074-6507
Country : US
Telephone Number : 702-292-7254
Fax Number :
Authorized Official
Title or Position : RFA
Name : MERCY LABRADO
Credential :
Telephone Number : 702-292-7254
Provider Enumeration Date : 12/03/2024
Last Update Date : 03/11/2026

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Directions to “VEGAS VIP HOME CARE LLC ” Practice Location

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