MEDICARE: HEART STONE HOME HEALTH INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1659248375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART STONE HOME HEALTH INC

Provider Business Mailing Address
First Line	:	6550 S PECOS RD STE B-101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2828
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 S PECOS RD STE B-101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-2828
Country	:	US
Telephone Number	:	725-269-2692
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JULIE KHUDAGULYAN
Credential	:
Telephone Number	:	725-269-2692

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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Directions to “HEART STONE HOME HEALTH INC ” Practice Location

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