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NPI Code Detail

MEDICARE: SAM'S CARE HOME

MEDICARE: SAM'S CARE HOME
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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1841123007
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAM'S CARE HOME
Provider Business Mailing Address
First Line : 7535 W GOWAN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6207
Country : US
Telephone Number : 702-608-8646
Fax Number :
Provider Business Practice Location Address
First Line : 7535 W GOWAN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6207
Country : US
Telephone Number : 702-608-8646
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAMANTHA CHIASCIONE
Credential : RN
Telephone Number : 702-608-8646
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/06/2026

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Directions to “SAM'S CARE HOME ” Practice Location

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