Provider Demographics
NPI:1205827458
Name:ALLIED HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ALLIED HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:DOGUILES
Authorized Official - Last Name:LIBRES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:702-395-4848
Mailing Address - Street 1:3211 N TENAYA WAY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7439
Mailing Address - Country:US
Mailing Address - Phone:702-395-4848
Mailing Address - Fax:702-395-4890
Practice Address - Street 1:3211 N TENAYA WAY
Practice Address - Street 2:SUITE 108
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7439
Practice Address - Country:US
Practice Address - Phone:702-395-4848
Practice Address - Fax:702-395-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV297183Medicare Oscar/Certification