MEDICARE: NEVADA VALLEY HOME CARE

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	311ZA0620X	Adult Care Home Facility
2	311500000X	Alzheimer Center (Dementia Center)

General Provider Information

NPI Number	:	1588444376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA VALLEY HOME CARE

Provider Business Mailing Address
First Line	:	4387 FLOWERDALE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4207
Country	:	US
Telephone Number	:	702-405-7695
Fax Number	:

Provider Business Practice Location Address
First Line	:	6791 ELMDALE PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4213
Country	:	US
Telephone Number	:	702-505-3841
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRYAN GROSH
Credential	:
Telephone Number	:	702-505-3841

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	07/26/2024

Similar Medicare Providers

1841904604 — SWEET VALLEY HOME CARE
Practice Location Address:

6791 ELMDALE PL
LAS VEGAS, NV
89103-4213

Practice Phone: 702-405-7695
Practice Fax:

1508270828 — VICTORIA ROSSITER
Practice Location Address:

4213 GROVE CIR APT 4
LAS VEGAS, NV
89119-6846

Practice Phone: 702-305-3575
Practice Fax:

1720801616 — JENNIFER EMILY RESTREPO
Practice Location Address:

4213 ENGLISH WALNUT CT
LAS VEGAS, NV
89115-4121

Practice Phone: 917-599-3504
Practice Fax:

1629109137 — QUEST DIAGNOSTICS OF PUERTO RICO INC
Practice Location Address:

214 CALLE LAS MARIAS
SAN JUAN, PR
00927-4213

Practice Phone: 787-751-7773
Practice Fax:

1841432143 — HYDE PARK MEDICAL GROUP PSC
Practice Location Address:

212 CALLE LAS MARIAS , HYDE PARK
SAN JUAN, PR
00927-4213

Practice Phone: 787-250-6425
Practice Fax:

1477338465 — ABIGAIL ROSE GONZALEZ LMSW
Practice Location Address:

4530 S DECATUR BLVD STE 201B
LAS VEGAS, NV
89103-5239

Practice Phone: 702-486-7865
Practice Fax:

Directions to “NEVADA VALLEY HOME CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.