MEDICARE: NEVADA BEST PCA, 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1659616407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA BEST PCA, LLC

Provider Business Mailing Address
First Line	:	2575 MONTESSOURI ST STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3060
Country	:	US
Telephone Number	:	702-207-2526
Fax Number	:

Provider Business Practice Location Address
First Line	:	2575 MONTESSOURI ST STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3060
Country	:	US
Telephone Number	:	702-207-2526
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. SONA HAKOBYAN
Credential	:
Telephone Number	:	702-207-2526

Provider Enumeration Date	:	12/05/2012
Last Update Date	:	09/25/2024

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