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NPI Code Detail

MEDICARE: ALLIANCE HOME CARE AND SENIOR SERVICES, LLC

MEDICARE: ALLIANCE HOME CARE AND SENIOR SERVICES, 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
1253Z00000XIn Home Supportive Care Agency8816-PCS-0NV

General Provider Information

NPI Number : 1528545365
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE HOME CARE AND SENIOR SERVICES, LLC
Provider Business Mailing Address
First Line : 2554 HIGHLAND CLIFF DR
Second Line :
City : HENDERSON
State : NV
Zip : 89052-2880
Country : US
Telephone Number : 702-502-1096
Fax Number : 725-266-4667
Provider Business Practice Location Address
First Line : 8945 W POST RD STE 100A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2430
Country : US
Telephone Number : 725-266-4664
Fax Number : 725-266-4667
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ERNESTO ABRENICA
Credential : RN
Telephone Number : 702-502-1096
Provider Enumeration Date : 07/24/2018
Last Update Date : 07/24/2018

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Directions to “ALLIANCE HOME CARE AND SENIOR SERVICES, LLC ” Practice Location

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