MEDICARE: MOTHER'S CARE HOME HEALTH SERVICES, 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	251E00000X	Home Health Agency	794561988	NV

General Provider Information

NPI Number	:	1508809526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHER'S CARE HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	1412 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8511
Country	:	US
Telephone Number	:	702-565-0208
Fax Number	:	702-565-0218

Provider Business Practice Location Address
First Line	:	1412 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8511
Country	:	US
Telephone Number	:	702-565-0208
Fax Number	:	702-565-0218

Authorized Official
Title or Position	:	ADMINISTRATOR/DOPCS
Name	:	MRS. MA. NANCY BONDOC BRIONES
Credential	:	R.N.
Telephone Number	:	702-565-0208

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	04/25/2013

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