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NPI Code Detail

MEDICARE: ALPHA HOME HEALTH AGENCY, INC.

MEDICARE: ALPHA HOME HEALTH AGENCY, 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
1251E00000XHome Health Agency4887HHA-0NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14887HHA-0OTHERNVSTATE OF NEVADA - BUREAU

General Provider Information

NPI Number : 1174723910
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALPHA HOME HEALTH AGENCY, INC.
Provider Business Mailing Address
First Line : 6392 MCLEOD DR STE 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4417
Country : US
Telephone Number : 702-254-0082
Fax Number : 702-796-0083
Provider Business Practice Location Address
First Line : 6392 MCLEOD DR STE 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4417
Country : US
Telephone Number : 702-254-0082
Fax Number : 702-796-0083
Authorized Official
Title or Position : PRESIDENT
Name : SCOTT HOUSTON CASSAVAUGH
Credential :
Telephone Number : 702-254-0082
Provider Enumeration Date : 07/19/2007
Last Update Date : 04/07/2020

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Directions to “ALPHA HOME HEALTH AGENCY, INC. ” Practice Location

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