MEDICARE: HOME COMFORTS

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	302F00000X	Exclusive Provider Organization	5626213167	NV

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	:	1528216066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME COMFORTS

Provider Business Mailing Address
First Line	:	PO BOX 36221
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-6221
Country	:	US
Telephone Number	:	702-813-7825
Fax Number	:	702-471-0010

Provider Business Practice Location Address
First Line	:	513 MONTICELLO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-3642
Country	:	US
Telephone Number	:	702-813-7825
Fax Number	:	702-471-0010

Authorized Official
Title or Position	:	PERSONAL CARE ATTENDANT
Name	:	MRS. JAMIE GRAY
Credential	:
Telephone Number	:	702-813-7825

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	09/08/2008

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Directions to “HOME COMFORTS ” Practice Location

Language	Start Address	Practice Location

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