MEDICARE: SPEEDYCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	347C00000X	Private Vehicle
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1184273914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEEDYCARE

Provider Business Mailing Address
First Line	:	1907 THUNDER STORM AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-4868
Country	:	US
Telephone Number	:	256-226-3878
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 THUNDER STORM AVE
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-4868
Country	:	US
Telephone Number	:	256-226-3878
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	KADMIEL CALEB SAINTANGE
Credential	:
Telephone Number	:	256-226-3878

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	09/04/2019

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Directions to “SPEEDYCARE ” Practice Location

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