MEDICARE: ALLTIME HOME HEALTH PROVIDERS

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	PENDING	NV

General Provider Information

NPI Number	:	1215985858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLTIME HOME HEALTH PROVIDERS

Provider Business Mailing Address
First Line	:	1555 E FLAMINGO RD
Second Line	:	SUITE 311
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5258
Country	:	US
Telephone Number	:	702-733-6767
Fax Number	:	702-733-6379

Provider Business Practice Location Address
First Line	:	1555 E FLAMINGO RD
Second Line	:	SUITE 311
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5258
Country	:	US
Telephone Number	:	702-733-6767
Fax Number	:	702-733-6379

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MAYETTE GARCIA
Credential	:	R.N.
Telephone Number	:	702-635-0673

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	08/22/2020

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