MEDICARE: ELIANA PATIENT ATTENDANT SERVICES 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1538887328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIANA PATIENT ATTENDANT SERVICES AGENCY LLC

Provider Business Mailing Address
First Line	:	1516 E TROPICANA AVE STE 238
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-8340
Country	:	US
Telephone Number	:	318-458-9988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 E TROPICANA AVE STE 238
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-8340
Country	:	US
Telephone Number	:	318-458-9988
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	EUGENA UMUNNAKWE
Credential	:
Telephone Number	:	318-458-9988

Provider Enumeration Date	:	08/17/2022
Last Update Date	:	08/18/2022

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