MEDICARE: MEADOWS HOME HEALTH SERVICES, 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	5509HHA-0	NV

General Provider Information

NPI Number	:	1699909077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEADOWS HOME HEALTH SERVICES, LLC.

Provider Business Mailing Address
First Line	:	6438 S TENAYA WAY STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6651
Country	:	US
Telephone Number	:	702-405-4415
Fax Number	:	702-405-4411

Provider Business Practice Location Address
First Line	:	6438 S TENAYA WAY
Second Line	:	SUITE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6651
Country	:	US
Telephone Number	:	702-405-4415
Fax Number	:	702-405-4411

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. CHRISTOPHER TRAVER
Credential	:	B.S. B.M.
Telephone Number	:	702-575-8862

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	02/20/2024

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