MEDICARE: BEST CARE 4 VETS 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
1	251E00000X	Home Health Agency
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1124618954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CARE 4 VETS HOME CARE LLC

Provider Business Mailing Address
First Line	:	1408 ANDREW DAVID AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-1347
Country	:	US
Telephone Number	:	725-735-0127
Fax Number	:	702-242-1583

Provider Business Practice Location Address
First Line	:	1408 ANDREW DAVID AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89086-1347
Country	:	US
Telephone Number	:	725-735-0127
Fax Number	:	702-242-1583

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARY ELIZABETH FRANKLIN
Credential	:	PCA
Telephone Number	:	702-462-0135

Provider Enumeration Date	:	01/25/2021
Last Update Date	:	06/07/2022

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