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NPI Code Detail

MEDICARE: ASHBY NEVADA LLC

MEDICARE: ASHBY NEVADA 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1700344884
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHBY NEVADA LLC
Provider Business Mailing Address
First Line : 3160 S VALLEY VIEW BLVD STE 206
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8316
Country : US
Telephone Number : 720-222-3911
Fax Number :
Provider Business Practice Location Address
First Line : 3160 S VALLEY VIEW BLVD STE 206
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8316
Country : US
Telephone Number : 720-222-3911
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : SHAWN VIERRA
Credential :
Telephone Number : 720-222-3911
Provider Enumeration Date : 03/07/2019
Last Update Date : 03/07/2019

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Directions to “ASHBY NEVADA LLC ” Practice Location

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