MEDICARE: ESTHER CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1053134650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESTHER CARE LLC

Provider Business Mailing Address
First Line	:	1905 VIAGGIO AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2527
Country	:	US
Telephone Number	:	510-798-9828
Fax Number	:

Provider Business Practice Location Address
First Line	:	1905 VIAGGIO AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2527
Country	:	US
Telephone Number	:	510-798-9828
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	TONIA LAW
Credential	:
Telephone Number	:	725-310-0726

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/04/2024

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Directions to “ESTHER CARE LLC ” Practice Location

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