MEDICARE: AFTERCARE OF NEVADA, 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	561HHA-16	NV

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	:	1659425783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTERCARE OF NEVADA, INC.

Provider Business Mailing Address
First Line	:	3075 E FLAMINGO RD
Second Line	:	SUITE 116A
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7483
Country	:	US
Telephone Number	:	702-894-9449
Fax Number	:

Provider Business Practice Location Address
First Line	:	3075 E FLAMINGO RD
Second Line	:	SUITE 116A
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7483
Country	:	US
Telephone Number	:	702-894-9449
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JAMES G SIDES
Credential	:
Telephone Number	:	702-894-9449

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	12/15/2011

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Directions to “AFTERCARE OF NEVADA, INC. ” Practice Location

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