MEDICARE: 1 CARE ATOMIC WORKERS HOME HEALTH 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

General Provider Information

NPI Number	:	1396608865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1 CARE ATOMIC WORKERS HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	3037 E WARM SPRINGS RD STE 100A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3759
Country	:	US
Telephone Number	:	702-665-6007
Fax Number	:	702-462-2563

Provider Business Practice Location Address
First Line	:	3087 E WARM SPRINGS RD STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3754
Country	:	US
Telephone Number	:	702-665-6007
Fax Number	:	702-462-2563

Authorized Official
Title or Position	:	BUSINESS DIRECTOR
Name	:	MELISSA DEMARRIAS
Credential	:
Telephone Number	:	702-665-6007

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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