Provider Demographics
NPI:1437931540
Name:NURSELINK HOME HEALTH, LLC
Entity Type:Organization
Organization Name:NURSELINK HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:702-475-1184
Mailing Address - Street 1:4175 S RILEY ST STE 104
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8719
Mailing Address - Country:US
Mailing Address - Phone:725-400-1104
Mailing Address - Fax:702-446-9644
Practice Address - Street 1:4175 S RILEY ST STE 104
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8719
Practice Address - Country:US
Practice Address - Phone:725-400-1104
Practice Address - Fax:702-446-9644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health