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General NPI Number Information
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NPI Number | 1699909077
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Entity Type | Organization
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Legal Business Name | MEADOWS HOME HEALTH SERVICES, LLC.
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 6438 S TENAYA WAY SUITE 120
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City | LAS VEGAS
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State | NV
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Zip | 89113-6651
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Country | US
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Telephone | 702-405-4415
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Fax | 702-405-4411
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Provider Business Mailing Address
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Address Line | 6438 S TENAYA WAY STE 120
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City | LAS VEGAS
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State | NV
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Zip | 89113-6651
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Country | US
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Telephone | 702-405-4415
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Fax | 702-405-4411
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHRISTOPHER TRAVER
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Credential | B.S. B.M.
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Telephone | 702-575-8862
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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 | 5509HHA-0
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License Number State | NV
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