MEDICARE: ASSIST CARE

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	333600000X	Pharmacy	PH1387	NV
2	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2973039	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1639195589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSIST CARE

Provider Business Mailing Address
First Line	:	4865 W NEVSO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3787
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4865 W NEVSO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3787
Country	:	US
Telephone Number	:	702-889-8007
Fax Number	:	702-889-8026

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KEVIN REXFORD
Credential	:
Telephone Number	:	702-889-8007

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/11/2025

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Directions to “ASSIST CARE ” Practice Location

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