Provider Demographics
NPI:1134457443
Name:CINDY RIVAS-ALBAGDADI
Entity Type:Organization
Organization Name:CINDY RIVAS-ALBAGDADI
Other - Org Name:ANGELS HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIVAS-ALBAGDADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-823-1712
Mailing Address - Street 1:4324 S EASTERN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6064
Mailing Address - Country:US
Mailing Address - Phone:702-823-1712
Mailing Address - Fax:702-478-8672
Practice Address - Street 1:4324 S EASTERN AVE STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6064
Practice Address - Country:US
Practice Address - Phone:702-823-1712
Practice Address - Fax:702-478-8672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005054307Medicaid