MEDICARE: HELLO ASSISTIVE TECHNOLOGY 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
1	251300000X	Local Education Agency (LEA)	1033857947-001	NV
2	251B00000X	Case Management Agency	1033857947-001	NV
3	251V00000X	Voluntary or Charitable Agency	1033857947-001	NV
4	251C00000X	Developmentally Disabled Services Day Training Agency	1033857947-001	NV

General Provider Information

NPI Number	:	1104360676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELLO ASSISTIVE TECHNOLOGY INC

Provider Business Mailing Address
First Line	:	6320 FENCE POST ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5725
Country	:	US
Telephone Number	:	702-366-5544
Fax Number	:	702-664-0473

Provider Business Practice Location Address
First Line	:	4625 W NEVSO DR STE 2&3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-7702
Country	:	US
Telephone Number	:	702-302-3836
Fax Number	:	702-664-0473

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MS. MARCIE ZAJAC
Credential	:	B.S.N.
Telephone Number	:	702-366-5544

Provider Enumeration Date	:	12/18/2016
Last Update Date	:	12/18/2016

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