MEDICARE: QUALITY 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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1356235386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HOME CARE LLC

Provider Business Mailing Address
First Line	:	4619 GARDEN PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-4100
Country	:	US
Telephone Number	:	725-777-6091
Fax Number	:

Provider Business Practice Location Address
First Line	:	4619 GARDEN PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-4100
Country	:	US
Telephone Number	:	725-777-6091
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT GIBBS
Credential	:
Telephone Number	:	725-777-6091

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/05/2025

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Directions to “QUALITY HOME CARE LLC ” Practice Location

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