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NPI Code Detail

MEDICARE: RED ROCK HOME HEALTH, INC.

MEDICARE: RED ROCK HOME HEALTH, INC.
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 Agency

General Provider Information

NPI Number : 1598224263
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED ROCK HOME HEALTH, INC.
Provider Business Mailing Address
First Line : 6867 W CHARLESTON BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1669
Country : US
Telephone Number : 702-778-6660
Fax Number : 702-629-2431
Provider Business Practice Location Address
First Line : 6867 W CHARLESTON BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1669
Country : US
Telephone Number : 702-778-6660
Fax Number : 702-629-2431
Authorized Official
Title or Position : PRESIDENT
Name : HAMID REZA DJAM
Credential :
Telephone Number : 702-690-7889
Provider Enumeration Date : 03/13/2019
Last Update Date : 09/15/2021

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Directions to “RED ROCK HOME HEALTH, INC. ” Practice Location

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