Provider Demographics
NPI:1487018677
Name:AAA HOME CARE, LLC
Entity Type:Organization
Organization Name:AAA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-463-0085
Mailing Address - Street 1:3225 S RAINBOW BLVD UNIT 102-8
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6239
Mailing Address - Country:US
Mailing Address - Phone:702-463-0085
Mailing Address - Fax:
Practice Address - Street 1:3225 S RAINBOW BLVD UNIT 102-8
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6239
Practice Address - Country:US
Practice Address - Phone:702-463-0085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care