MEDICARE: LAS VEGAS CARING PCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	3747A0650X	Attendant Care Provider
3	376J00000X	Homemaker
4	385H00000X	Respite Care
5	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1497322861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS VEGAS CARING PCA

Provider Business Mailing Address
First Line	:	6166 S SANDHILL RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3216
Country	:	US
Telephone Number	:	702-344-6862
Fax Number	:

Provider Business Practice Location Address
First Line	:	6166 S SANDHILL RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3216
Country	:	US
Telephone Number	:	702-344-6862
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CRYSTAL CONTRERAS
Credential	:
Telephone Number	:	702-344-6862

Provider Enumeration Date	:	06/05/2021
Last Update Date	:	11/11/2022

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Directions to “LAS VEGAS CARING PCA ” Practice Location

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