MEDICARE: SHG RECEIVABLE MANAGEMENT INC

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

General Provider Information

NPI Number	:	1720736960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHG RECEIVABLE MANAGEMENT INC

Provider Business Mailing Address
First Line	:	PO BOX 33910
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-3910
Country	:	US
Telephone Number	:	765-238-1381
Fax Number	:

Provider Business Practice Location Address
First Line	:	3753 HOWARD HUGHES PKWY # 200211
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0938
Country	:	US
Telephone Number	:	765-238-1381
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HAHN MARCH
Credential	:
Telephone Number	:	765-238-1381

Provider Enumeration Date	:	03/16/2022
Last Update Date	:	03/16/2022

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