Provider Demographics
NPI:1508809526
Name:MOTHER'S CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:MOTHER'S CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DOPCS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MA. NANCY
Authorized Official - Middle Name:BONDOC
Authorized Official - Last Name:BRIONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-565-0208
Mailing Address - Street 1:1412 S DECATUR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8511
Mailing Address - Country:US
Mailing Address - Phone:702-565-0208
Mailing Address - Fax:702-565-0218
Practice Address - Street 1:1412 S DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8511
Practice Address - Country:US
Practice Address - Phone:702-565-0208
Practice Address - Fax:702-565-0218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV794561988251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV297130Medicare Oscar/Certification
NV297130Medicare PIN