Provider Demographics
NPI:1225742281
Name:PRIORITY CARE SERVICES, LLC
Entity Type:Organization
Organization Name:PRIORITY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHITO
Authorized Official - Middle Name:NONAN
Authorized Official - Last Name:BURDEOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-600-7956
Mailing Address - Street 1:3111 S VALLEY VIEW BLVD STE A207
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8300
Mailing Address - Country:US
Mailing Address - Phone:725-600-7956
Mailing Address - Fax:
Practice Address - Street 1:3111 S VALLEY VIEW BLVD STE A207
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8300
Practice Address - Country:US
Practice Address - Phone:725-600-7956
Practice Address - Fax:725-244-4129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based