Haydeelyn Agojo – Home Health Aide in Las Vegas, NV

Key facts

NPI: 1689028342
Entity type: Individual (NPI type 1)
Primary specialty: Home Health Aide 374U00000X
License: G63-02022 (NV)
Practice address: 6855 W Charleston Blvd Ste B
Las Vegas, NV 89117-1675
Phone: (702) 241-2050
Fax: (702) 241-2051
NPI assigned: Apr 19, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Ie Community Hospice, Inc. Community Based Hospice Care Agency · Upland, CA · NPI 1144828500

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
G63-02022	NV	MD	Home Health Aide

Practice roles

Organization	Specialty	Status	New patients
Ie Community Hospice, Inc.		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Homemaker	376J00000X	G63-02022	NV
Chore Provider	372500000X	G63-02022	NV
Adult Companion	372600000X	G63-02022	NV
Home Health Aide	374U00000X	G63-02022	NV	Yes

Addresses

Primary practice location

6855 W Charleston Blvd Ste B
Las Vegas, NV 89117-1675

Mailing address

6855 W Charleston Blvd Ste B
Las Vegas, NV 89117-1675
Phone (702) 241-2050

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Home Health Aide in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.