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NPI Code Detail

MEDICARE: ELITE HOME HEALTH CARE LLC

MEDICARE: ELITE HOME HEALTH CARE 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
1251E00000XHome Health Agency6178HHA-0NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1617HHA-0OTHERNVSTATE OF NEVADA BUREAU OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH

General Provider Information

NPI Number : 1598046922
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 1336 S DECATUR BLVD # A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8510
Country : US
Telephone Number : 702-998-4465
Fax Number :
Provider Business Practice Location Address
First Line : 1336 S DECATUR BLVD # A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8510
Country : US
Telephone Number : 702-998-4465
Fax Number : 702-998-4471
Authorized Official
Title or Position : OWNER
Name : MR. MOHAMED A KAMARA
Credential :
Telephone Number : 702-487-0920
Provider Enumeration Date : 08/30/2011
Last Update Date : 09/10/2024

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Directions to “ELITE HOME HEALTH CARE LLC ” Practice Location

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