MEDICARE: OMEGA ASSOCIATES 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1033836523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMEGA ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	3960 HOWARD HUGHES PKWY STE 500
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-5988
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3960 HOWARD HUGHES PKWY STE 500
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-5988
Country	:	US
Telephone Number	:	661-363-3620
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VANESA CHENG
Credential	:
Telephone Number	:	661-363-3620

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	10/25/2022

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Directions to “OMEGA ASSOCIATES LLC ” Practice Location

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