Provider Demographics
NPI:1497212831
Name:HOMECARE BY M&D LLC
Entity Type:Organization
Organization Name:HOMECARE BY M&D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:DANTE
Authorized Official - Last Name:DALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-476-8809
Mailing Address - Street 1:2700 E. SUNSET RD., #17 BLDG B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3508
Mailing Address - Country:US
Mailing Address - Phone:702-476-8809
Mailing Address - Fax:
Practice Address - Street 1:2700 E. SUNSET RD., #17 BLDG B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3508
Practice Address - Country:US
Practice Address - Phone:702-476-8809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty