MEDICARE: ACCESS CARE HOME HEALTH AGENCY 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	:	1891203808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS CARE HOME HEALTH AGENCY INC

Provider Business Mailing Address
First Line	:	8860 S MARYLAND PKWY STE 121
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4007
Country	:	US
Telephone Number	:	702-557-1358
Fax Number	:	702-441-4345

Provider Business Practice Location Address
First Line	:	8860 S MARYLAND PKWY STE 121
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4007
Country	:	US
Telephone Number	:	702-557-1358
Fax Number	:	702-441-4345

Authorized Official
Title or Position	:	AGENCY SUPERVISOR
Name	:	BELINDA DENNIS
Credential	:	RN
Telephone Number	:	702-557-1358

Provider Enumeration Date	:	01/12/2018
Last Update Date	:	01/12/2018

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