Provider Demographics
NPI:1518619394
Name:WECARE IMJ HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:WECARE IMJ HOME HEALTHCARE, LLC
Other - Org Name:CARING ONE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:CO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-601-6111
Mailing Address - Street 1:6268 SPRING MOUNTAIN RD STE 105C
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8874
Mailing Address - Country:US
Mailing Address - Phone:702-601-6111
Mailing Address - Fax:
Practice Address - Street 1:6268 SPRING MOUNTAIN RD STE 105C
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8874
Practice Address - Country:US
Practice Address - Phone:702-601-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-22
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health