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General NPI Number Information
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NPI Number | 1417474867
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Entity Type | Organization
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Legal Business Name | NURSES CARE HOME HEALTH LLC
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Dates
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Enumeration Date | 08/26/2017
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 8290 W SAHARA AVE STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89117-8937
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Country | US
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Telephone | 702-410-2616
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Fax | 702-938-4109
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Provider Business Mailing Address
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Address Line | 8290 W SAHARA AVE STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89117-8937
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Country | US
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Telephone | 702-410-2616
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Fax | 702-938-4109
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JOSEPHINE REBOLLEDO AGUSTIN
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Credential | RN
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Telephone | 702-410-2616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NV20171307704
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License Number State | NV
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