MEDICARE: FOREVER HOME HEALTH 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	376J00000X	Homemaker
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1639771066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREVER HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	4525 S SANDHILL RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5955
Country	:	US
Telephone Number	:	702-493-8865
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 S SANDHILL RD STE 103
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5955
Country	:	US
Telephone Number	:	702-493-8865
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRANCIA A CARRAL
Credential	:
Telephone Number	:	702-493-8865

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	05/20/2026

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Directions to “FOREVER HOME HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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