# CHARMED HOME HEALTH CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1730326224
- **Authorized official:** MRS. JENNIFER JO MATTIO KATSORIS (OWNER/CARE GIVER)
- **Authorized official phone:** (702) 426-5959

## Contact information

- **Practice address:** 6201 E LAKE MEAD BLVD, UNIT 104, LAS VEGAS, NV 89156-6990
- **Practice address phone:** (702) 438-5335
- **Practice address fax:** (702) 438-5335
- **Mailing address:** 6201 E LAKE MEAD BLVD, UNIT 104, LAS VEGAS, NV 89156-6990
- **Mailing address phone:** (702) 438-5335
- **Mailing address fax:** (702) 438-5335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1007715014 | NV | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 01/21/2009
