=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366277097
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A & R HOME CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/03/2024
-----------------------------------------------------
Last Update Date | 09/03/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2340 PASEO DEL PRADO STE D112
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89102-4389
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-796-6393
-----------------------------------------------------
Fax | 702-796-6392
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2340 PASEO DEL PRADO STE D112
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89102-4389
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-796-6393
-----------------------------------------------------
Fax | 702-796-6392
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS
-----------------------------------------------------
Name | MRS. TERYL L MCCAFFREY
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 412-477-2565
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------