Provider Demographics
NPI:1407288855
Name:N & L HOME CARE FACILITIES LLC
Entity Type:Organization
Organization Name:N & L HOME CARE FACILITIES LLC
Other - Org Name:FORGET ME NOT HOME CARE I
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISSETTE
Authorized Official - Middle Name:N
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-285-9250
Mailing Address - Street 1:5513 FLORA SPRAY ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-1697
Mailing Address - Country:US
Mailing Address - Phone:702-658-7744
Mailing Address - Fax:702-684-6895
Practice Address - Street 1:5513 FLORA SPRAY ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-1697
Practice Address - Country:US
Practice Address - Phone:702-658-7744
Practice Address - Fax:702-684-6895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20131382567311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home