MEDICARE: SILVER STATE HOME HEALTH CARE, 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
2	251E00000X	Home Health Agency		NV

General Provider Information

NPI Number	:	1740225309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER STATE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2725 S. JONES BLVD
Second Line	:	SUITE 108
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5605
Country	:	US
Telephone Number	:	702-451-2273
Fax Number	:	702-641-2273

Provider Business Practice Location Address
First Line	:	2725 S. JONES BLVD
Second Line	:	SUITE 108
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5605
Country	:	US
Telephone Number	:	702-451-2273
Fax Number	:	702-641-2273

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTINE POGOSYAN
Credential	:
Telephone Number	:	702-451-2273

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	04/21/2014

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