MEDICARE: AMERICARE HOME HEALTH, 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	:	1912956822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICARE HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	2780 S JONES BLVD
Second Line	:	SUITE L
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5625
Country	:	US
Telephone Number	:	702-399-8880
Fax Number	:	702-795-8881

Provider Business Practice Location Address
First Line	:	2780 S JONES BLVD
Second Line	:	SUITE L
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5625
Country	:	US
Telephone Number	:	702-399-8880
Fax Number	:	702-795-8881

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	VIRGIL M PAYAWAL
Credential	:	CPA
Telephone Number	:	702-399-8880

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/22/2020

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