MEDICARE: ABOVE THE REST HOME CARE INC.

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	1017014744001	NV

General Provider Information

NPI Number	:	1437531878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE THE REST HOME CARE INC.

Provider Business Mailing Address
First Line	:	2001 S JONES BLVD
Second Line	:	STE E3
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3182
Country	:	US
Telephone Number	:	702-425-3377
Fax Number	:	702-997-7552

Provider Business Practice Location Address
First Line	:	2001 S JONES BLVD
Second Line	:	STE E3
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3182
Country	:	US
Telephone Number	:	702-425-3377
Fax Number	:	702-997-7552

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	EDGAR JIMENEZ
Credential	:
Telephone Number	:	702-273-6658

Provider Enumeration Date	:	06/22/2015
Last Update Date	:	06/22/2015

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