MEDICARE: CARE FIRST HOME CARE, 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	251E00000X	Home Health Agency	4414HHA-1	NV

General Provider Information

NPI Number	:	1699170928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE FIRST HOME CARE, LLC

Provider Business Mailing Address
First Line	:	2150 S CENTRAL EXPY STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4000
Country	:	US
Telephone Number	:	214-632-0386
Fax Number	:	702-932-5959

Provider Business Practice Location Address
First Line	:	9315 W SUNSET RD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5012
Country	:	US
Telephone Number	:	702-932-5859
Fax Number	:	702-932-5959

Authorized Official
Title or Position	:	CFO
Name	:	GREG FLYNN
Credential	:
Telephone Number	:	972-677-3417

Provider Enumeration Date	:	10/29/2014
Last Update Date	:	11/12/2020

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