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NPI 1174401822

NPI 1174401822 : LOTUS VEGAS PERSONAL CARE LLC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1174401822
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOTUS VEGAS PERSONAL CARE LLC 
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Dates
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    Enumeration Date     |    08/21/2025
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    8760 S MARYLAND PKWY STE 118B 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89123-6710
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    Country              |    US
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    Telephone            |    702-780-4441
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    Fax                  |    702-780-4441
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Provider Business Mailing Address
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    Address Line         |    8760 S MARYLAND PKWY STE 118B 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89123-6710
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    Country              |    US
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    Telephone            |    702-780-4441
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    Fax                  |    702-780-4441
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KARIM  NASSAR 
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    Credential           |    
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    Telephone            |    702-832-7921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    146D00000X
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    Taxonomy Name        |    Personal Emergency Response Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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