Provider Demographics
NPI:1245430925
Name:NEVADA HOMECARE HELPER, LLC
Entity Type:Organization
Organization Name:NEVADA HOMECARE HELPER, LLC
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIBISAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-368-7990
Mailing Address - Street 1:PO BOX 82096
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-2096
Mailing Address - Country:US
Mailing Address - Phone:702-368-7990
Mailing Address - Fax:702-252-3767
Practice Address - Street 1:6950 VIA OLIVERO AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2849
Practice Address - Country:US
Practice Address - Phone:702-368-7990
Practice Address - Fax:702-252-3767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care