MEDICARE: A & R 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1366277097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & R HOME CARE, LLC

Provider Business Mailing Address
First Line	:	2340 PASEO DEL PRADO STE D112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4389
Country	:	US
Telephone Number	:	702-796-6393
Fax Number	:	702-796-6392

Provider Business Practice Location Address
First Line	:	2340 PASEO DEL PRADO STE D112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4389
Country	:	US
Telephone Number	:	702-796-6393
Fax Number	:	702-796-6392

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MRS. TERYL L MCCAFFREY
Credential	:	RN
Telephone Number	:	412-477-2565

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	09/03/2024

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