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NPI Code Detail

MEDICARE: AGING WELL HOME CARE LLC

MEDICARE: AGING WELL 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1639011315
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGING WELL HOME CARE LLC
Provider Business Mailing Address
First Line : 3753 HOWARD HUGHES PKWY STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0952
Country : US
Telephone Number : 410-660-7728
Fax Number :
Provider Business Practice Location Address
First Line : 3753 HOWARD HUGHES PKWY STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0952
Country : US
Telephone Number : 410-660-7728
Fax Number :
Authorized Official
Title or Position : OWNER., PRESIDENT, ADMIN
Name : FRIDA NGU
Credential :
Telephone Number : 410-660-7728
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “AGING WELL HOME CARE LLC ” Practice Location

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