MEDICARE: N&M CARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1194433789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N&M CARE LLC

Provider Business Mailing Address
First Line	:	9890 S MARYLAND PKWY STE 260
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7169
Country	:	US
Telephone Number	:	702-843-1421
Fax Number	:	702-476-9517

Provider Business Practice Location Address
First Line	:	9890 S MARYLAND PKWY STE 260
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7169
Country	:	US
Telephone Number	:	702-843-1421
Fax Number	:	702-476-9517

Authorized Official
Title or Position	:	OWNER
Name	:	MARTIN DESPAIN
Credential	:
Telephone Number	:	503-708-1754

Provider Enumeration Date	:	11/11/2022
Last Update Date	:	11/11/2022

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Directions to “N&M CARE LLC ” Practice Location

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