MEDICARE: NEVADA HOME 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1891327136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA HOME CARE, LLC

Provider Business Mailing Address
First Line	:	2501 N GREEN VALLEY PKWY STE 118
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2158
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 N GREEN VALLEY PKWY STE 118
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2158
Country	:	US
Telephone Number	:	505-266-6683
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	STEVE TRACY
Credential	:
Telephone Number	:	505-720-1877

Provider Enumeration Date	:	02/05/2020
Last Update Date	:	07/08/2024

Similar Medicare Providers

1851240667 — HARRISON BOYAJIAN
Practice Location Address:

2501 N GREEN VALLEY PKWY STE 101D
HENDERSON, NV
89014-2158

Practice Phone: 702-508-5920
Practice Fax:

1912864034 — MS. ALAINA COWLEY CPC-INTERN
Practice Location Address:

2501 N GREEN VALLEY PKWY STE 101D
HENDERSON, NV
89014-2158

Practice Phone: 702-508-5920
Practice Fax:

1255729620 — AMANDA HOLCOMBE
Practice Location Address:

2501 N GREEN VALLEY PKWY STE 101
HENDERSON, NV
89014-2158

Practice Phone: 702-508-5920
Practice Fax: 702-522-1154

1821535162 — MRS. STACY LYNN NELSON
Practice Location Address:

2501 N GREEN VALLEY PKWY STE 116
HENDERSON, NV
89014-2158

Practice Phone: 702-938-5096
Practice Fax:

1881121432 — VELVET PETKOV
Practice Location Address:

2501 N GREEN VALLEY PKWY STE 116
HENDERSON, NV
89014-2158

Practice Phone: 702-605-2766
Practice Fax:

1538675939 — DANIKA JOHNSON
Practice Location Address:

2501 N GREEN VALLEY PKWY STE 101D
HENDERSON, NV
89014-2158

Practice Phone: 702-508-5920
Practice Fax:

Directions to “NEVADA HOME CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.