Provider Demographics
NPI:1235541681
Name:CAREGIVERS HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CAREGIVERS HEALTH SERVICES, INC.
Other - Org Name:CAREGIVERS HEALTH SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:BRENDA
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-562-4344
Mailing Address - Street 1:7251 W LAKE MEAD BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-8351
Mailing Address - Country:US
Mailing Address - Phone:702-562-4344
Mailing Address - Fax:702-562-4000
Practice Address - Street 1:7251 W LAKE MEAD BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-8351
Practice Address - Country:US
Practice Address - Phone:702-562-4344
Practice Address - Fax:702-562-4000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREGIVERS HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVS7196PS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1366774242Medicaid