# HOME CARE OF NEVADA

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

## Provider details

- **NPI number:** 1417721994
- **Authorized official:** MR. CHAD SIMON (ADMINISTRATOR)
- **Authorized official phone:** (702) 334-6648

## Contact information

- **Practice address:** 2801 S VALLEY VIEW BLVD, SUITE 4 ROOM 7, LAS VEGAS, NV 89102
- **Practice address phone:** (702) 334-6648
- **Practice address fax:** (702) 602-9292
- **Mailing address:** 253 RUSTIC CLUB WAY, LAS VEGAS, NV 89148
- **Mailing address phone:** (702) 334-6648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2023
- **Last updated:** 07/24/2024