MEDICARE: NEW SUNSET 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
1	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	:	1629541529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SUNSET PERSONAL CARE LLC

Provider Business Mailing Address
First Line	:	3355 SPRING MOUNTAIN RD STE 47
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8635
Country	:	US
Telephone Number	:	702-444-1442
Fax Number	:	702-444-2342

Provider Business Practice Location Address
First Line	:	3355 SPRING MOUNTAIN RD STE 47
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8635
Country	:	US
Telephone Number	:	702-444-1442
Fax Number	:	702-444-2342

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MARIA ALFEREZ DECARDENAS
Credential	:
Telephone Number	:	702-296-2532

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	01/03/2019

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Directions to “NEW SUNSET PERSONAL CARE LLC ” Practice Location

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