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NPI Code Detail

MEDICARE: ALAVA HOME CARE LLC

MEDICARE: ALAVA 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1356092522
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAVA HOME CARE LLC
Provider Business Mailing Address
First Line : 4847 EL ESCORIAL DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-6862
Country : US
Telephone Number : 702-686-2147
Fax Number :
Provider Business Practice Location Address
First Line : 2245 RENAISSANCE DR STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6747
Country : US
Telephone Number : 702-686-2147
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ILAY FERRIN
Credential :
Telephone Number : 702-686-2147
Provider Enumeration Date : 01/10/2022
Last Update Date : 01/10/2022

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Directions to “ALAVA HOME CARE LLC ” Practice Location

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