Provider Demographics
NPI:1245771518
Name:ADVISACARE SOLUTIONS OF NEVADA, INC.
Entity Type:Organization
Organization Name:ADVISACARE SOLUTIONS OF NEVADA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-464-1117
Mailing Address - Street 1:1840 E WARM SPRINGS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4523
Mailing Address - Country:US
Mailing Address - Phone:702-896-6393
Mailing Address - Fax:702-739-0105
Practice Address - Street 1:1840 E WARM SPRINGS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4523
Practice Address - Country:US
Practice Address - Phone:702-896-6393
Practice Address - Fax:702-739-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based