MEDICARE: YELLOWROSEHOMECARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1114890910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YELLOWROSEHOMECARE LLC

Provider Business Mailing Address
First Line	:	7154 PLEASANT VIEW AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-4524
Country	:	US
Telephone Number	:	702-517-1910
Fax Number	:

Provider Business Practice Location Address
First Line	:	7154 PLEASANT VIEW AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-4524
Country	:	US
Telephone Number	:	702-517-1910
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VIETTA LYNAE LOWE II
Credential	:
Telephone Number	:	702-517-1910

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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