Provider Demographics
NPI:1407090442
Name:TARGET GROUP, INC.
Entity Type:Organization
Organization Name:TARGET GROUP, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GINO
Authorized Official - Middle Name:D
Authorized Official - Last Name:CATALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-385-1000
Mailing Address - Street 1:2881 BUSINESS PARK CT
Mailing Address - Street 2:SUITE 226
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9018
Mailing Address - Country:US
Mailing Address - Phone:702-385-1000
Mailing Address - Fax:702-452-1001
Practice Address - Street 1:2881 BUSINESS PARK CT
Practice Address - Street 2:SUITE 226
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9018
Practice Address - Country:US
Practice Address - Phone:702-385-1000
Practice Address - Fax:702-452-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1001863380253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care