MEDICARE: ALL NATURAL HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	101Y00000X	Counselor
2	174200000X	Meals Provider
3	253Z00000X	In Home Supportive Care Agency
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	251E00000X	Home Health Agency	NV

General Provider Information

NPI Number	:	1780191296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL NATURAL HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	2320 TUCUMCARI DR APT 1037
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-3890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 TUCUMCARI DR APT 1037
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-3890
Country	:	US
Telephone Number	:	702-327-7967
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SABRINA THOMPSON
Credential	:
Telephone Number	:	702-327-7967

Provider Enumeration Date	:	01/05/2018
Last Update Date	:	01/05/2018

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