MEDICARE: A SIMPLE SOLUTION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	3747A0650X	Attendant Care Provider
4	3747P1801X	Personal Care Attendant
5	376J00000X	Homemaker
6	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619046703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A SIMPLE SOLUTION LLC

Provider Business Mailing Address
First Line	:	14260 VENTURA BLVD
Second Line	:	SUITE 300
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2734
Country	:	US
Telephone Number	:	800-955-9111
Fax Number	:	818-461-0677

Provider Business Practice Location Address
First Line	:	2865 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5307
Country	:	US
Telephone Number	:	702-388-1700
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	DILLON LUTZA
Credential	:
Telephone Number	:	702-388-1700

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	06/13/2023

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Directions to “A SIMPLE SOLUTION LLC ” Practice Location

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