MEDICARE: PLEASANT VIEW HOMECARE

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1053184689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLEASANT VIEW HOMECARE

Provider Business Mailing Address
First Line	:	7036 PLEASANT VIEW AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-4520
Country	:	US
Telephone Number	:	725-203-2149
Fax Number	:

Provider Business Practice Location Address
First Line	:	7036 PLEASANT VIEW AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-4520
Country	:	US
Telephone Number	:	725-203-2149
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DEORELLA A BAUTISTA
Credential	:
Telephone Number	:	702-985-6847

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

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Directions to “PLEASANT VIEW HOMECARE ” Practice Location

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