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NPI Code Detail

MEDICARE: EMERALD HOME HEALTH CARE LLC

MEDICARE: EMERALD 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
1251E00000XHome Health Agency8580-HHA-0NV

General Provider Information

NPI Number : 1588115844
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERALD HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 3401 SIRIUS AVE
Second Line : UNIT #1
City : LAS VEGAS
State : NV
Zip : 89102-7724
Country : US
Telephone Number : 702-483-5155
Fax Number : 702-483-3150
Provider Business Practice Location Address
First Line : 3401 SIRIUS AVE
Second Line : UNIT #1
City : LAS VEGAS
State : NV
Zip : 89102-7724
Country : US
Telephone Number : 702-483-5155
Fax Number : 702-483-3150
Authorized Official
Title or Position : ASSISTANT ADMINISTRATOR
Name : MR. GILBERT B GABAT
Credential :
Telephone Number : 702-498-3854
Provider Enumeration Date : 10/20/2016
Last Update Date : 10/20/2016

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Directions to “EMERALD HOME HEALTH CARE LLC ” Practice Location

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