Provider Demographics
NPI:1326156308
Name:LIKE FAMILY HOME NURSING SERVICES
Entity Type:Organization
Organization Name:LIKE FAMILY HOME NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRICKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-350-0812
Mailing Address - Street 1:2470 ST. ROSE PARKWAY
Mailing Address - Street 2:STE 311
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074
Mailing Address - Country:US
Mailing Address - Phone:310-350-0812
Mailing Address - Fax:310-395-4872
Practice Address - Street 1:2470 ST. ROSE PARKWAY
Practice Address - Street 2:STE 311
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074
Practice Address - Country:US
Practice Address - Phone:310-350-0812
Practice Address - Fax:310-395-4872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health