Healthcare Provider Details
I. General information
NPI: 1700721925
Provider Name (Legal Business Name): D&G PROFESSIONAL HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3651 LINDELL RD STE D1130
LAS VEGAS NV
89103-1254
US
IV. Provider business mailing address
3651 LINDELL RD STE D1130
LAS VEGAS NV
89103-1254
US
V. Phone/Fax
- Phone: 702-487-4119
- Fax: 855-200-0495
- Phone: 702-487-4119
- Fax: 855-200-0495
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LACREA
SWOPE
Title or Position: MANAGING MEMBER
Credential: BSN, RN
Phone: 702-487-4119