# WESTERN HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407814064
- **Authorized official:** MR. JASON ALLEN SMIDT (COO)
- **Authorized official phone:** (602) 252-5000

## Contact information

- **Practice address:** 4035 E POST RD, LAS VEGAS, NV 89120-3992
- **Practice address phone:** (702) 914-7337
- **Practice address fax:** (702) 914-7304
- **Mailing address:** 1626 S EDWARD DR, TEMPE, AZ 85281-6200
- **Mailing address phone:** (602) 252-5000
- **Mailing address fax:** (602) 323-5070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | PH02658 | NV | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | MP00196 | NV | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | PH02658 | NV | — |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 12/01/2010