MEDICARE: HOLA HOME & HEALTH CARE

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	:	1457131773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLA HOME & HEALTH CARE

Provider Business Mailing Address
First Line	:	2235 E FLAMINGO RD STE 116
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0800
Country	:	US
Telephone Number	:	702-348-2392
Fax Number	:

Provider Business Practice Location Address
First Line	:	2235 E FLAMINGO RD STE 116
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0800
Country	:	US
Telephone Number	:	702-348-2392
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIK SANCHEZ TAPIA
Credential	:
Telephone Number	:	702-348-2392

Provider Enumeration Date	:	10/03/2023
Last Update Date	:	10/03/2023

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