MEDICARE: ALFA HOMECARE, 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	3747A0650X	Attendant Care Provider
2	376J00000X	Homemaker
3	251E00000X	Home Health Agency	8646-PCS-0	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1376086678	OTHER	NV	NPPES

General Provider Information

NPI Number	:	1376086678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALFA HOMECARE, LLC

Provider Business Mailing Address
First Line	:	1640 E SAHARA AVE STE J
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3491
Country	:	US
Telephone Number	:	702-776-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 E SAHARA AVE STE J
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3491
Country	:	US
Telephone Number	:	702-776-1004
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CLAUDIA Y NUNEZ
Credential	:
Telephone Number	:	702-776-1004

Provider Enumeration Date	:	11/18/2016
Last Update Date	:	06/06/2024

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Directions to “ALFA HOMECARE, LLC ” Practice Location

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