Provider Demographics
NPI:1043419344
Name:NEVADA HOME HEALTH PROVIDERS, INC.
Entity Type:Organization
Organization Name:NEVADA HOME HEALTH PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LORILYN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DUNKELMAN-FARAON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-382-8331
Mailing Address - Street 1:1210 S VALLEY VIEW BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1857
Mailing Address - Country:US
Mailing Address - Phone:702-382-8331
Mailing Address - Fax:702-382-9346
Practice Address - Street 1:1210 S VALLEY VIEW BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1857
Practice Address - Country:US
Practice Address - Phone:702-382-8331
Practice Address - Fax:702-382-9346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4091HHA-2251E00000X
NV5579HHA-9251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100512595Medicaid
NV297134Medicare Oscar/Certification