Provider Demographics
NPI:1528545365
Name:ALLIANCE HOME CARE AND SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:ALLIANCE HOME CARE AND SENIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRENICA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-502-1096
Mailing Address - Street 1:2554 HIGHLAND CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2880
Mailing Address - Country:US
Mailing Address - Phone:702-502-1096
Mailing Address - Fax:725-266-4667
Practice Address - Street 1:8945 W POST RD STE 100A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2430
Practice Address - Country:US
Practice Address - Phone:725-266-4664
Practice Address - Fax:725-266-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8816-PCS-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care