MEDICARE: MEDICAL SERVICES OF NEVADA 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1770041451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SERVICES OF NEVADA INC

Provider Business Mailing Address
First Line	:	1325 AIRMOTIVE WAY STE 262
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-3240
Country	:	US
Telephone Number	:	775-828-6420
Fax Number	:	775-828-6413

Provider Business Practice Location Address
First Line	:	1325 AIRMOTIVE WAY STE 262
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-3240
Country	:	US
Telephone Number	:	775-828-6420
Fax Number	:	775-828-6413

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	EDGAR JIMENEZ
Credential	:
Telephone Number	:	702-273-6658

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	03/12/2019

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Directions to “MEDICAL SERVICES OF NEVADA INC ” Practice Location

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