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General NPI Number Information
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NPI Number | 1982415501
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Entity Type | Organization
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Legal Business Name | RED ROCK HOME HEALTH CARE CORPORATION
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2620 REGATTA DR STE 126
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City | LAS VEGAS
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State | NV
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Zip | 89128-6891
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Country | US
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Telephone | 702-546-0228
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 REGATTA DR STE 126
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City | LAS VEGAS
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State | NV
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Zip | 89128-6891
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRIANA MEDINA
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Credential |
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Telephone | 702-546-0228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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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