Provider Demographics
NPI:1396395257
Name:AM-PM PERSONAL CARE LLC
Entity Type:Organization
Organization Name:AM-PM PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:YANET
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-822-2655
Mailing Address - Street 1:820 RANCHO LN STE 25
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3806
Mailing Address - Country:US
Mailing Address - Phone:702-822-2655
Mailing Address - Fax:
Practice Address - Street 1:820 RANCHO LN STE 25
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3806
Practice Address - Country:US
Practice Address - Phone:702-822-2655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AM-PM PERSONAL CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty