MEDICARE: FAMILY CARE HOME HEALTH & HOSPICE

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
1	251G00000X	Community Based Hospice Care Agency		NV

General Provider Information

NPI Number	:	1629351440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CARE HOME HEALTH & HOSPICE

Provider Business Mailing Address
First Line	:	1945 E WARM SPRINGS RD STE 400
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4583
Country	:	US
Telephone Number	:	702-650-9366
Fax Number	:	702-650-9388

Provider Business Practice Location Address
First Line	:	6960 OBANNON DR STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2160
Country	:	US
Telephone Number	:	702-445-1354
Fax Number	:	702-650-9388

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	DR. MOHAMMED AHMED
Credential	:
Telephone Number	:	702-445-1354

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	01/03/2023

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Directions to “FAMILY CARE HOME HEALTH & HOSPICE ” Practice Location

Language	Start Address	Practice Location

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