MEDICARE: AMERIPRIME HOME HEALTH, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1851574495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERIPRIME HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	4660 S EASTERN AVE STE 203
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6139
Country	:	US
Telephone Number	:	702-893-0088
Fax Number	:

Provider Business Practice Location Address
First Line	:	4660 S EASTERN AVE STE 203
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6139
Country	:	US
Telephone Number	:	702-893-0088
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. BERNARD MUSNGI SANTOS JR.
Credential	:
Telephone Number	:	702-893-0088

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	12/05/2007

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