MEDICARE: ALLIED HOME HEALTH CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1205827458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED HOME HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3211 N TENAYA WAY
Second Line	:	SUITE 108
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7439
Country	:	US
Telephone Number	:	702-395-4848
Fax Number	:	702-395-4890

Provider Business Practice Location Address
First Line	:	3211 N TENAYA WAY
Second Line	:	SUITE 108
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7439
Country	:	US
Telephone Number	:	702-395-4848
Fax Number	:	702-395-4890

Authorized Official
Title or Position	:	PRESIDENT / CEO
Name	:	MR. EDUARDO DOGUILES LIBRES
Credential	:	P.T.
Telephone Number	:	702-395-4848

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	12/12/2014

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