MEDICARE: NEVADA BEST PCA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	374U00000X	Home Health Aide
4	376J00000X	Homemaker
5	385H00000X	Respite Care
6	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1730578139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA BEST PCA, LLC

Provider Business Mailing Address
First Line	:	2575 MONTESSOURI ST STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3060
Country	:	US
Telephone Number	:	702-207-2526
Fax Number	:	702-447-2524

Provider Business Practice Location Address
First Line	:	2575 MONTESSOURI ST STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3060
Country	:	US
Telephone Number	:	702-207-2526
Fax Number	:	702-447-2524

Authorized Official
Title or Position	:	MANAGER
Name	:	SONA HAKOBYAN
Credential	:
Telephone Number	:	702-207-2526

Provider Enumeration Date	:	01/22/2015
Last Update Date	:	09/25/2024

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