Provider Demographics
NPI:1083038616
Name:HOME CARE BY M&D, LLC
Entity Type:Organization
Organization Name:HOME CARE BY M&D, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX DANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-476-8809
Mailing Address - Street 1:2700 E. SUNSET RD.
Mailing Address - Street 2:SUITE 17
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3508
Mailing Address - Country:US
Mailing Address - Phone:702-476-8809
Mailing Address - Fax:702-476-8633
Practice Address - Street 1:2700 E. SUNSET RD.
Practice Address - Street 2:SUITE 17
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3508
Practice Address - Country:US
Practice Address - Phone:702-476-8809
Practice Address - Fax:702-476-8633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7854PCS-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care