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NPI Code Detail

MEDICARE: CARENOVA LLC

MEDICARE: CARENOVA 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
1251B00000XCase Management Agency
2171M00000XCase Manager/Care Coordinator
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1558215079
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARENOVA LLC
Provider Business Mailing Address
First Line : 301 KINGS AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-3841
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 KINGS AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-3841
Country : US
Telephone Number : 702-544-6826
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATHLYNE LEWIS
Credential :
Telephone Number : 702-544-6826
Provider Enumeration Date : 02/23/2026
Last Update Date : 03/03/2026

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Directions to “CARENOVA LLC ” Practice Location

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