Provider Demographics
NPI:1326424409
Name:EMBRACING HEARTS PCA LLC
Entity Type:Organization
Organization Name:EMBRACING HEARTS PCA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHIA
Authorized Official - Middle Name:LAVONNE
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-860-9841
Mailing Address - Street 1:800 N RAINBOW BLVD
Mailing Address - Street 2:SUITE 208 UNIT 17
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1189
Mailing Address - Country:US
Mailing Address - Phone:702-966-7227
Mailing Address - Fax:702-966-7228
Practice Address - Street 1:800 N RAINBOW BLVD
Practice Address - Street 2:SUITE 208 UNIT 17
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1189
Practice Address - Country:US
Practice Address - Phone:702-966-7227
Practice Address - Fax:702-966-7228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care