MEDICARE: WARM HEARTS HOMECARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	374U00000X	Home Health Aide
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1225885221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARM HEARTS HOMECARE LLC

Provider Business Mailing Address
First Line	:	3434 GOSLING ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8418
Country	:	US
Telephone Number	:	702-810-0393
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 GOSLING ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8418
Country	:	US
Telephone Number	:	702-810-0393
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KADIN BOUDAGHIAN
Credential	:
Telephone Number	:	702-810-0393

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	05/06/2024

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