MEDICARE: MS FLOS HOME HEALTH 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		NV

General Provider Information

NPI Number	:	1376052803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MS FLOS HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	2920 S JONES BLVD STE 110B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5395
Country	:	US
Telephone Number	:	702-321-3062
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 S JONES BLVD STE 110B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5395
Country	:	US
Telephone Number	:	702-321-3062
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAHLENE MARIE KING
Credential	:
Telephone Number	:	702-321-3062

Provider Enumeration Date	:	09/27/2017
Last Update Date	:	07/21/2022

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