MEDICARE: KW CORE SERVICES, 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	385H00000X	Respite Care	9078-PCS-0	NV
2	253Z00000X	In Home Supportive Care Agency	9078-PCS-0	NV

General Provider Information

NPI Number	:	1154819860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KW CORE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1333 N BUFFALO DR UNIT 250
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3637
Country	:	US
Telephone Number	:	702-534-1352
Fax Number	:	702-534-0594

Provider Business Practice Location Address
First Line	:	1333 N BUFFALO DR UNIT 250
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3637
Country	:	US
Telephone Number	:	702-534-1352
Fax Number	:	702-534-0594

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	MR. FELIPE SANCHEZ DANGLAPIN
Credential	:
Telephone Number	:	702-534-1352

Provider Enumeration Date	:	04/27/2018
Last Update Date	:	04/27/2018

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Directions to “KW CORE SERVICES, INC. ” Practice Location

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