Provider Demographics
NPI:1043620552
Name:L&MENTS, INC.
Entity Type:Organization
Organization Name:L&MENTS, INC.
Other - Org Name:COMFORCARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:WENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:702-553-9798
Mailing Address - Street 1:7477 W LAKE MEAD BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-1028
Mailing Address - Country:US
Mailing Address - Phone:702-997-9477
Mailing Address - Fax:
Practice Address - Street 1:7477 W LAKE MEAD BLVD
Practice Address - Street 2:SUITE #150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1028
Practice Address - Country:US
Practice Address - Phone:702-997-9477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7749PCS253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV30Medicaid