Provider Demographics
NPI:1437603933
Name:A NEXT GENERATION ADHC LLC
Entity Type:Organization
Organization Name:A NEXT GENERATION ADHC LLC
Other - Org Name:A NEXT GENERATION ADHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:INGUANZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-476-2899
Mailing Address - Street 1:8225 W SAHARA AVE
Mailing Address - Street 2:STE H
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8962
Mailing Address - Country:US
Mailing Address - Phone:702-476-2899
Mailing Address - Fax:702-476-1575
Practice Address - Street 1:8225 W SAHARA AVE
Practice Address - Street 2:STE H
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8962
Practice Address - Country:US
Practice Address - Phone:702-476-2899
Practice Address - Fax:702-213-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care