MEDICARE: D&G PROFESSIONAL HOMECARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1700721925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D&G PROFESSIONAL HOMECARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3651 LINDELL RD STE D1130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1254
Country	:	US
Telephone Number	:	702-487-4119
Fax Number	:	855-200-0495

Provider Business Practice Location Address
First Line	:	3651 LINDELL RD STE D1130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1254
Country	:	US
Telephone Number	:	702-487-4119
Fax Number	:	855-200-0495

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	LACREA SWOPE
Credential	:	BSN, RN
Telephone Number	:	702-487-4119

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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