MEDICARE: PLUS HEALTH CARE AGENCY 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	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487056909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLUS HEALTH CARE AGENCY LLC.

Provider Business Mailing Address
First Line	:	4760 S PECOS RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5828
Country	:	US
Telephone Number	:	702-970-0051
Fax Number	:	866-396-8279

Provider Business Practice Location Address
First Line	:	4760 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6038
Country	:	US
Telephone Number	:	702-970-0051
Fax Number	:

Authorized Official
Title or Position	:	OWNER ADMINISTRATOR
Name	:	FELIX ESCOBAR-CASALES
Credential	:
Telephone Number	:	702-970-0051

Provider Enumeration Date	:	09/17/2014
Last Update Date	:	07/10/2024

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