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NPI Code Detail

MEDICARE: BIG HEARTS LLC

MEDICARE: BIG HEARTS 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1548734866
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIG HEARTS LLC
Provider Business Mailing Address
First Line : 8045 MISTY CANYON AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3683
Country : US
Telephone Number : 702-826-8042
Fax Number :
Provider Business Practice Location Address
First Line : 8045 MISTY CANYON AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3683
Country : US
Telephone Number : 702-826-8042
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. HENRY THORNS
Credential :
Telephone Number : 702-826-8042
Provider Enumeration Date : 01/20/2019
Last Update Date : 05/21/2024

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Directions to “BIG HEARTS LLC ” Practice Location

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