MEDICARE: ALWAYS ANGELS HOMECARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	3747A0650X	Attendant Care Provider
3	376J00000X	Homemaker
4	385H00000X	Respite Care
5	372500000X	Chore Provider
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1770412397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALWAYS ANGELS HOMECARE LLC

Provider Business Mailing Address
First Line	:	4680 S EASTERN AVE STE C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6192
Country	:	US
Telephone Number	:	725-204-1367
Fax Number	:	725-241-5454

Provider Business Practice Location Address
First Line	:	4680 S EASTERN AVE STE C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6192
Country	:	US
Telephone Number	:	725-204-1367
Fax Number	:	725-241-5454

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LETICIA BALTAZAR
Credential	:	BALTAZAR
Telephone Number	:	725-204-1367

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ALWAYS ANGELS HOMECARE LLC ” Practice Location

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