MEDICARE: AT-HOME 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1275147860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT-HOME CARE LLC

Provider Business Mailing Address
First Line	:	4955 S DURANGO DR STE 153
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-0154
Country	:	US
Telephone Number	:	702-463-9585
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 PASEO DEL PRADO STE A206
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4330
Country	:	US
Telephone Number	:	702-463-9570
Fax Number	:	702-714-1864

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR/BOARD MEMBER
Name	:	NYMPHA C GARCIA
Credential	:
Telephone Number	:	702-463-9570

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	03/24/2025

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Directions to “AT-HOME CARE LLC ” Practice Location

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