MEDICARE: ARC HOLDINGS NV 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	:	1306885710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARC HOLDINGS NV LLC

Provider Business Mailing Address
First Line	:	1421 E SUNSET RD STE 12
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4960
Country	:	US
Telephone Number	:	702-262-0031
Fax Number	:	702-262-0036

Provider Business Practice Location Address
First Line	:	1421 E SUNSET RD STE 12
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4960
Country	:	US
Telephone Number	:	702-262-0031
Fax Number	:	702-262-0036

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ALWYN PASCUA
Credential	:
Telephone Number	:	702-262-0031

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	09/22/2020

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