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NPI Code Detail

MEDICARE: HAVEN PERSONAL CARE SERVICES, LLC

MEDICARE: HAVEN PERSONAL CARE SERVICES, 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
1253Z00000XIn Home Supportive Care Agency
23747P1801XPersonal Care Attendant
3376J00000XHomemaker
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1518369305
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAVEN PERSONAL CARE SERVICES, LLC
Provider Business Mailing Address
First Line : 6830 W OQUENDO RD STE 203
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2551
Country : US
Telephone Number : 702-802-3585
Fax Number :
Provider Business Practice Location Address
First Line : 6830 W OQUENDO RD STE 203
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-2551
Country : US
Telephone Number : 702-802-3585
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : ALDIAN C ESTACION
Credential :
Telephone Number : 702-802-3585
Provider Enumeration Date : 09/23/2014
Last Update Date : 07/30/2025

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Directions to “HAVEN PERSONAL CARE SERVICES, LLC ” Practice Location

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