MEDICARE: WESTERN 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	3336H0001X	Home Infusion Therapy Pharmacy	PH02658	NV
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	PH02658	NV
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	332BX2000X	Oxygen Equipment & Supplies (DME)	MP00196	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407814064
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN HOME CARE, LLC

Provider Business Mailing Address
First Line	:	1626 S EDWARD DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-6200
Country	:	US
Telephone Number	:	602-252-5000
Fax Number	:	602-323-5070

Provider Business Practice Location Address
First Line	:	4035 E POST RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3992
Country	:	US
Telephone Number	:	702-914-7337
Fax Number	:	702-914-7304

Authorized Official
Title or Position	:	COO
Name	:	MR. JASON ALLEN SMIDT
Credential	:
Telephone Number	:	602-252-5000

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	12/01/2010

Similar Medicare Providers

1447209283 — WESTERN HOME CARE LLC
Practice Location Address:

4035 E POST RD
LAS VEGAS, NV
89120-3992

Practice Phone: 702-262-5500
Practice Fax: 702-262-9997

1538469267 — WESTERN HOME CARE
Practice Location Address:

4035 E POST RD
LAS VEGAS, NV
89120-3992

Practice Phone: 702-262-5500
Practice Fax: 702-262-9997

1285027391 — RON GROUP, LLC
Practice Location Address:

1501 BELLE ISLE AVE STE 150
MT PLEASANT, SC
29464-8381

Practice Phone: 843-352-7662
Practice Fax: 833-898-3992

1356284319 — DR. ASHLE LOVELEE OTD, OTR/L
Practice Location Address:

3145 E WARM SPRINGS RD STE 400
LAS VEGAS, NV
89120-3140

Practice Phone: 702-808-8141
Practice Fax:

1730022500 — GWENDOLYN MARSHALL
Practice Location Address:

4990 TOPAZ ST APT 27
LAS VEGAS, NV
89120-1067

Practice Phone: 702-684-4005
Practice Fax:

1912841420 — PAUL GORDIER
Practice Location Address:

3037 E WARM SPRINGS RD
LAS VEGAS, NV
89120-3758

Practice Phone: 702-780-8447
Practice Fax:

Directions to “WESTERN HOME CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.