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NPI Code Detail

MEDICARE: SAGUARO HOME HEALTH SERVICES INC.

MEDICARE: SAGUARO HOME HEALTH SERVICES 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
1251E00000XHome Health Agency606HHA-10NV

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 : 1871779249
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAGUARO HOME HEALTH SERVICES INC.
Provider Business Mailing Address
First Line : 2770 S MARYLAND PKWY
Second Line : SUITE 215
City : LAS VEGAS
State : NV
Zip : 89109-1554
Country : US
Telephone Number : 702-248-6850
Fax Number : 702-650-3540
Provider Business Practice Location Address
First Line : 2770 S MARYLAND PKWY
Second Line : SUITE 215
City : LAS VEGAS
State : NV
Zip : 89109-1554
Country : US
Telephone Number : 702-248-6850
Fax Number : 702-650-3540
Authorized Official
Title or Position : ADMINISTRATOR
Name : RAMON A DIMACULANGAN JR.
Credential :
Telephone Number : 702-248-6850
Provider Enumeration Date : 01/16/2008
Last Update Date : 01/16/2008

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Directions to “SAGUARO HOME HEALTH SERVICES INC. ” Practice Location

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