MEDICARE: FIRST CARE HOME HEALTH 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	251E00000X	Home Health Agency	H14-00219	NV

General Provider Information

NPI Number	:	1114156502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CARE HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	2801 S VALLEY VIEW BLVD STE 12
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0176
Country	:	US
Telephone Number	:	702-259-1111
Fax Number	:	702-259-1112

Provider Business Practice Location Address
First Line	:	2801 S VALLEY VIEW BLVD STE 12
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0176
Country	:	US
Telephone Number	:	702-259-1111
Fax Number	:	702-259-1112

Authorized Official
Title or Position	:	PRESIDENT/ ADMINISTRATOR
Name	:	MICHELLE GAY LIM
Credential	:
Telephone Number	:	702-354-5478

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	03/24/2025

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