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NPI Code Detail

MEDICARE: LAS VEGAS HOMECARE SERVICES INC.

MEDICARE: LAS VEGAS HOMECARE SERVICES 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
1372600000XAdult Companion8705-PCS-0NV
23747P1801XPersonal Care Attendant8705-PCS-0NV
3385H00000XRespite Care8705-PCS-0NV
43747A0650XAttendant Care Provider8705-PCS-0NV

General Provider Information

NPI Number : 1134639156
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS VEGAS HOMECARE SERVICES INC.
Provider Business Mailing Address
First Line : 6651 MOUNTAINWOOD LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-1022
Country : US
Telephone Number : 702-487-0455
Fax Number :
Provider Business Practice Location Address
First Line : 1980 FESTIVAL PLAZA DR STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-2930
Country : US
Telephone Number : 702-487-0455
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : KAIFUNG WU
Credential :
Telephone Number : 702-487-0455
Provider Enumeration Date : 10/04/2017
Last Update Date : 10/05/2017

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Directions to “LAS VEGAS HOMECARE SERVICES INC. ” Practice Location

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