MEDICARE: COMPASSION HOME HEALTH 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

General Provider Information

NPI Number	:	1467856476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	3920 E PATRICK LN STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3927
Country	:	US
Telephone Number	:	702-331-1744
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 E PATRICK LN STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3927
Country	:	US
Telephone Number	:	725-666-9698
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL CLEGG
Credential	:
Telephone Number	:	702-331-1744

Provider Enumeration Date	:	10/20/2014
Last Update Date	:	08/17/2023

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