MEDICARE: TREASURES ANGELS

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	171M00000X	Case Manager/Care Coordinator	H1400134	NV
2	251B00000X	Case Management Agency	H1400134	NV
3	251E00000X	Home Health Agency	H1400134	NV
4	302F00000X	Exclusive Provider Organization	H1400134	NV
5	310400000X	Assisted Living Facility	H1400134	NV
6	332B00000X	Durable Medical Equipment & Medical Supplies	H1400134	NV
7	385H00000X	Respite Care	H1400134	NV
8	251J00000X	Nursing Care Agency	H1400134	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255521001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREASURES ANGELS

Provider Business Mailing Address
First Line	:	PO BOX 231284
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89105-1284
Country	:	US
Telephone Number	:	702-898-0052
Fax Number	:	702-898-0053

Provider Business Practice Location Address
First Line	:	1204 STEWART AVENUE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101
Country	:	US
Telephone Number	:	702-898-0052
Fax Number	:	702-898-0053

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MONICA MARTINEZ
Credential	:
Telephone Number	:	702-898-0052

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	07/27/2007

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Directions to “TREASURES ANGELS ” Practice Location

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