MEDICARE: ARES HOUSE CALLS 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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1265204887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARES HOUSE CALLS LLC

Provider Business Mailing Address
First Line	:	5660 W FLAMINGO RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5660 W FLAMINGO RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2312
Country	:	US
Telephone Number	:	702-890-8147
Fax Number	:	702-659-8910

Authorized Official
Title or Position	:	OWNER
Name	:	KENNETH ARES APRN
Credential	:
Telephone Number	:	702-596-2188

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	10/26/2023

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Directions to “ARES HOUSE CALLS LLC ” Practice Location

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