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NPI Code Detail

MEDICARE: ATEVAN HOME HEALTH CARE LLC

MEDICARE: ATEVAN 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1396133575
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATEVAN HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 2001 S JONES BLVD STE G
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3165
Country : US
Telephone Number : 702-545-0477
Fax Number :
Provider Business Practice Location Address
First Line : 2001 S JONES BLVD STE G
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3165
Country : US
Telephone Number : 702-545-0477
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : PAOLA NAVA
Credential :
Telephone Number : 702-545-0477
Provider Enumeration Date : 12/22/2014
Last Update Date : 02/25/2021

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Directions to “ATEVAN HOME HEALTH CARE LLC ” Practice Location

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