MEDICARE: SENIOR CARE HOME HEALTH LLC

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	174200000X	Meals Provider
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1902777964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR CARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	107 E WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4101
Country	:	US
Telephone Number	:
Fax Number	:	702-900-9388

Provider Business Practice Location Address
First Line	:	107 E WARM SPRINGS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4101
Country	:	US
Telephone Number	:	702-325-0285
Fax Number	:	702-900-9388

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MARIA-ANGELITA DIONES TOLENTINO
Credential	:
Telephone Number	:	702-325-0285

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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