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NPI Code Detail

MEDICARE: ESSENTIAL CARE NEVADA LLC

MEDICARE: ESSENTIAL CARE NEVADA 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 Agency

General Provider Information

NPI Number : 1598310385
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENTIAL CARE NEVADA LLC
Provider Business Mailing Address
First Line : 10155 W TWAIN AVE STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6723
Country : US
Telephone Number : 702-883-3850
Fax Number :
Provider Business Practice Location Address
First Line : 10155 W TWAIN AVE STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6723
Country : US
Telephone Number : 801-458-0494
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : TODD NEWMAN
Credential :
Telephone Number : 702-883-3850
Provider Enumeration Date : 08/07/2019
Last Update Date : 03/07/2024

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Directions to “ESSENTIAL CARE NEVADA LLC ” Practice Location

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