Provider Demographics
NPI:1437210861
Name:PHYSICIANS CHOICE HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:PHYSICIANS CHOICE HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:NAWAL
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-281-1314
Mailing Address - Street 1:6720 VIA AUSTI PKWY STE 250
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-3568
Mailing Address - Country:US
Mailing Address - Phone:702-563-1717
Mailing Address - Fax:702-563-1718
Practice Address - Street 1:3190 S HIGHWAY 160
Practice Address - Street 2:SUITE 1
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-8904
Practice Address - Country:US
Practice Address - Phone:775-537-1000
Practice Address - Fax:775-537-1079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV11912OtherHOME HEALTH AGENCY
NV100500831Medicaid
NV11912OtherHOME HEALTH AGENCY