MEDICARE: EMBRACE FAITH COMFORT 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1245885045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBRACE FAITH COMFORT CARE LLC

Provider Business Mailing Address
First Line	:	2221 ENGLESTAD ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-4030
Country	:	US
Telephone Number	:	702-417-5244
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 ENGLESTAD ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-4030
Country	:	US
Telephone Number	:	702-417-5244
Fax Number	:

Authorized Official
Title or Position	:	OWNER/EXECTIVE DIRECTOR
Name	:	MS. SHAMION MURRAY
Credential	:
Telephone Number	:	702-417-5244

Provider Enumeration Date	:	08/08/2019
Last Update Date	:	08/08/2019

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