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NPI Code Detail

MEDICARE: NEVADA HOME HEALTH PROVIDERS, INC.

MEDICARE: NEVADA HOME HEALTH PROVIDERS, INC.
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
1251E00000XHome Health Agency5579HHA-9NV
2251E00000XHome Health Agency4091HHA-2NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043419344
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA HOME HEALTH PROVIDERS, INC.
Provider Business Mailing Address
First Line : 1210 S VALLEY VIEW BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1857
Country : US
Telephone Number : 702-382-8331
Fax Number : 702-382-9346
Provider Business Practice Location Address
First Line : 1210 S VALLEY VIEW BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1857
Country : US
Telephone Number : 702-382-8331
Fax Number : 702-382-9346
Authorized Official
Title or Position : ADMINISTRATOR
Name : MISS LORILYN T. DUNKELMAN-FARAON
Credential : RN
Telephone Number : 702-382-8331
Provider Enumeration Date : 07/16/2007
Last Update Date : 07/21/2022

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Directions to “NEVADA HOME HEALTH PROVIDERS, INC. ” Practice Location

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