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NPI Code Detail

MEDICARE: LAS VEGAS FAMILY HOME CARE LLC

MEDICARE: LAS VEGAS FAMILY 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1518598424
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS VEGAS FAMILY HOME CARE LLC
Provider Business Mailing Address
First Line : 1650 E SAHARA AVE STE 4A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3495
Country : US
Telephone Number : 702-769-0584
Fax Number : 702-297-6593
Provider Business Practice Location Address
First Line : 1650 E SAHARA AVE STE 4A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3495
Country : US
Telephone Number : 702-769-0584
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MAIDELYN DE LA PAZ MEDINA
Credential :
Telephone Number : 702-769-0584
Provider Enumeration Date : 01/29/2020
Last Update Date : 05/20/2022

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Directions to “LAS VEGAS FAMILY HOME CARE LLC ” Practice Location

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