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NPI Code Detail

MEDICARE: COMFORT AT HOME PERSONAL CARE ASSISTANCE CORP

MEDICARE: COMFORT AT HOME PERSONAL CARE ASSISTANCE CORP
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
1376J00000XHomemaker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
29950OTHERNVPERSONAL CARE SERVICES

General Provider Information

NPI Number : 1053948547
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORT AT HOME PERSONAL CARE ASSISTANCE CORP
Provider Business Mailing Address
First Line : 1820 E SAHARA AVE STE 114
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3736
Country : US
Telephone Number : 702-262-1202
Fax Number : 702-749-6232
Provider Business Practice Location Address
First Line : 1820 E SAHARA AVE STE 114
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3736
Country : US
Telephone Number : 702-262-1202
Fax Number : 702-749-6232
Authorized Official
Title or Position : ADMINISTRATOR
Name : PRISCILLA GARCIA
Credential :
Telephone Number : 702-321-6994
Provider Enumeration Date : 03/24/2020
Last Update Date : 12/17/2021

Similar Medicare Providers

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Practice Location Address:
1820 E SAHARA AVE STE 114
LAS VEGAS, NV
89104-3736
Practice Phone: 702-262-1202
Practice Fax:
1699304758 — COMFORT AT HOME PERSONAL CARE ASSISTANCE CORP
Practice Location Address:
1820 E SAHARA AVE STE 114
LAS VEGAS, NV
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Practice Fax: 702-947-6232
1376492553 — CAN JU TAN
Practice Location Address:
1820 E SAHARA AVE STE 114
LAS VEGAS, NV
89104-3736
Practice Phone: 702-262-1202
Practice Fax: 702-749-6232
1932067618 — LATESIA CARLESE STEELE
Practice Location Address:
1820 E SAHARA AVE STE 114
LAS VEGAS, NV
89104-3736
Practice Phone: 702-262-1202
Practice Fax: 702-749-6232
1124986419 — COMFORT AT HOME PERSONAL CARE ASSISTANCE CORP
Practice Location Address:
1820 E SAHARA AVE STE 114
LAS VEGAS, NV
89104-3736
Practice Phone: 702-262-1202
Practice Fax:
1487224804 — PRISCILLA E GARCIA
Practice Location Address:
1820 E SAHARA AVE STE 114
LAS VEGAS, NV
89104-3736
Practice Phone: 702-321-6994
Practice Fax: 702-749-6232

Directions to “COMFORT AT HOME PERSONAL CARE ASSISTANCE CORP ” Practice Location

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