MEDICARE: US NATIONAL PERSONAL 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	5317PCS-2	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932483716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US NATIONAL PERSONAL CARE, LLC

Provider Business Mailing Address
First Line	:	2881 S VALLEY VIEW BLVD
Second Line	:	SUITE # 22
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0100
Country	:	US
Telephone Number	:	702-253-1031
Fax Number	:	702-253-9474

Provider Business Practice Location Address
First Line	:	2881 S VALLEY VIEW BLVD
Second Line	:	SUITE # 22
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0100
Country	:	US
Telephone Number	:	702-253-1031
Fax Number	:	702-253-9474

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VICTOR VARGAS
Credential	:
Telephone Number	:	702-253-1031

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	09/28/2011

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