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NPI Code Detail

MEDICARE: HIGH CLASS PERSONAL CARE LLC

MEDICARE: HIGH CLASS PERSONAL CARE 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
1253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750545000
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGH CLASS PERSONAL CARE LLC
Provider Business Mailing Address
First Line : 5000 W OAKEY BLVD STE E1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3398
Country : US
Telephone Number : 702-733-2890
Fax Number : 702-733-4951
Provider Business Practice Location Address
First Line : 5000 W OAKEY BLVD STE E1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3398
Country : US
Telephone Number : 702-733-2890
Fax Number : 702-733-4951
Authorized Official
Title or Position : ADMINISTRATOR
Name : EDGAR JIMENEZ
Credential :
Telephone Number : 702-273-6658
Provider Enumeration Date : 07/16/2008
Last Update Date : 12/26/2018

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Directions to “HIGH CLASS PERSONAL CARE LLC ” Practice Location

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