MEDICARE: FIRST ACCESS HEALTHCARE PROVIDERS, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1043610306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST ACCESS HEALTHCARE PROVIDERS, INC.

Provider Business Mailing Address
First Line	:	5890 S DURANGO DR STE 100A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2319
Country	:	US
Telephone Number	:	702-902-2345
Fax Number	:	702-818-3012

Provider Business Practice Location Address
First Line	:	5890 S DURANGO DR STE 100A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2319
Country	:	US
Telephone Number	:	702-902-2345
Fax Number	:	702-818-3012

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARIA THERESA R GO
Credential	:
Telephone Number	:	702-902-2345

Provider Enumeration Date	:	08/23/2014
Last Update Date	:	10/12/2021

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