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General NPI Number Information
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NPI Number | 1568011815
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Entity Type | Organization
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Legal Business Name | PRESTIGE FAMILY HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 03/19/2022
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Provider Practice Location Address
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Address Line | 1180 N TOWN CENTER DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89144-6308
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Country | US
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Telephone | 702-945-2765
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Fax | 702-583-7844
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Provider Business Mailing Address
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Address Line | 3428 CRYSTAL TOWER ST
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City | LAS VEGAS
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State | NV
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Zip | 89129-8140
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Country | US
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Telephone | 702-334-6135
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Fax | 702-583-7844
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Authorized Official
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Title or Position | OWNER
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Name | LEOMAR C CURAMENG
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Credential |
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Telephone | 702-334-6135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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