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NPI Code Detail

MEDICARE: A1 PERSONAL CARE, LLC

MEDICARE: A1 PERSONAL 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 Agency

General Provider Information

NPI Number : 1609573807
Entity Type Code : Organization
Provider Name (Legal Business Name) : A1 PERSONAL CARE, LLC
Provider Business Mailing Address
First Line : 8866 SANIBEL SHORE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6565
Country : US
Telephone Number : 702-468-9994
Fax Number :
Provider Business Practice Location Address
First Line : 2801 S VALLEY VIEW BLVD STE 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0168
Country : US
Telephone Number : 702-468-9994
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : EUNICE EUNHEE KIM
Credential :
Telephone Number : 702-468-9994
Provider Enumeration Date : 02/08/2023
Last Update Date : 02/08/2023

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Directions to “A1 PERSONAL CARE, LLC ” Practice Location

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