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NPI Code Detail

MEDICARE: LV HOME HEALTH SERVICES

MEDICARE: LV HOME HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency2001301-597NV
2322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility2001301-597NV
3251S00000XCommunity/Behavioral Health Agency2001301-597NV

General Provider Information

NPI Number : 1003005448
Entity Type Code : Organization
Provider Name (Legal Business Name) : LV HOME HEALTH SERVICES
Provider Business Mailing Address
First Line : 4160 S PECOS RD STE 17
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5027
Country : US
Telephone Number : 702-433-5368
Fax Number : 702-434-2485
Provider Business Practice Location Address
First Line : 4160 S PECOS RD STE 17
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5027
Country : US
Telephone Number : 702-433-5368
Fax Number : 702-434-2485
Authorized Official
Title or Position : PRESIDENT
Name : MRS. YELENA YEKTA
Credential :
Telephone Number : 702-433-5368
Provider Enumeration Date : 10/22/2007
Last Update Date : 10/22/2007

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Directions to “LV HOME HEALTH SERVICES ” Practice Location

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