MEDICARE: SWEETHEART PERSONAL CARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1992234835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEETHEART PERSONAL CARE

Provider Business Mailing Address
First Line	:	4525 S SANDHILL RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5955
Country	:	US
Telephone Number	:	702-465-5965
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 S SANDHILL RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5955
Country	:	US
Telephone Number	:	702-465-5965
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EDGAR JIMENEZ
Credential	:
Telephone Number	:	702-273-6658

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1689869307 — ELEANOR RENEE WISE AAS
Practice Location Address:

4525 S SANDHILL RD STE 103
LAS VEGAS, NV
89121-5955

Practice Phone: 702-741-1938
Practice Fax: 702-778-5283

1346623329 — ANGELA MARTINEZ DE VILLADA
Practice Location Address:

4525 S SANDHILL RD STE 110
LAS VEGAS, NV
89121-5955

Practice Phone: 702-980-5000
Practice Fax:

1285080317 — FLOYD DYER
Practice Location Address:

4525 S SANDHILL RD STE 106
LAS VEGAS, NV
89121-5955

Practice Phone: 702-556-2634
Practice Fax:

1669916508 — MONICA ARCHULETA MANGLONA
Practice Location Address:

4525 S SANDHILL RD STE 103
LAS VEGAS, NV
89121-5955

Practice Phone: 702-741-1938
Practice Fax:

1104362870 — LATRICE CHERI MATTOX-MITCHELL
Practice Location Address:

4525 S SANDHILL RD STE 106
LAS VEGAS, NV
89121-5955

Practice Phone: 702-848-1696
Practice Fax:

1659818144 — MILENA SMITH
Practice Location Address:

4525 S SANDHILL RD STE 106
LAS VEGAS, NV
89121-5955

Practice Phone: 702-848-1696
Practice Fax: 702-463-7283

Directions to “SWEETHEART PERSONAL CARE ” 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 © 2007-2025 (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.