MEDICARE: MO PRO SERVICES LLC

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
1	376J00000X	Homemaker
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1013770056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MO PRO SERVICES LLC

Provider Business Mailing Address
First Line	:	2405 PADDOCK LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-4976
Country	:	US
Telephone Number	:	702-559-7528
Fax Number	:

Provider Business Practice Location Address
First Line	:	2405 PADDOCK LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-4976
Country	:	US
Telephone Number	:	702-559-7528
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MONIQUE M BELTRAN
Credential	:
Telephone Number	:	702-559-2088

Provider Enumeration Date	:	02/02/2024
Last Update Date	:	02/12/2026

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Directions to “MO PRO SERVICES LLC ” Practice Location

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