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NPI Code Detail

MEDICARE: AAA HOME CARE, LLC

MEDICARE: AAA 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1982060950
Entity Type Code : Organization
Provider Name (Legal Business Name) : AAA HOME CARE, LLC
Provider Business Mailing Address
First Line : 3225 S RAINBOW BLVD UNIT 102-8
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6239
Country : US
Telephone Number : 702-463-0085
Fax Number :
Provider Business Practice Location Address
First Line : 3225 S RAINBOW BLVD UNIT 102-8
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-6239
Country : US
Telephone Number : 702-463-0085
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MARYANA SAUD
Credential :
Telephone Number : 702-403-4290
Provider Enumeration Date : 01/06/2016
Last Update Date : 02/16/2024

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Directions to “AAA HOME CARE, LLC ” Practice Location

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