=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336635341
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE NETWORK HOME HEALTH, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2018
-----------------------------------------------------
Last Update Date | 01/29/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8687 W SAHARA AVE STE 200
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89117-5869
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-849-0068
-----------------------------------------------------
Fax | 725-777-3378
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8687 W SAHARA AVE STE 200
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89117-5869
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-849-0068
-----------------------------------------------------
Fax | 725-777-3378
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF CLINICAL SERVICES
-----------------------------------------------------
Name | ARLENE GUERRERO
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 562-221-8499
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------