Provider Demographics
NPI:1467086298
Name:PRIORITY HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:PRIORITY HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASUPANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-940-8443
Mailing Address - Street 1:741 CALAMUS PALM PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-2646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:741 CALAMUS PALM PL
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-2646
Practice Address - Country:US
Practice Address - Phone:702-524-0409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care