MEDICARE: A1 HOMECARE INC.

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1770433609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 HOMECARE INC.

Provider Business Mailing Address
First Line	:	6027 W SANTOLI AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-6258
Country	:	US
Telephone Number	:	702-849-9165
Fax Number	:

Provider Business Practice Location Address
First Line	:	6027 W SANTOLI AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-6258
Country	:	US
Telephone Number	:	702-849-9165
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NONA SIXTA QUINTAL
Credential	:
Telephone Number	:	702-849-9165

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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