Provider Demographics
NPI:1609989565
Name:NEVADA HOME HEALTH PROVIDERS,INC.
Entity Type:Organization
Organization Name:NEVADA HOME HEALTH PROVIDERS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:B
Authorized Official - Last Name:VILLABROZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-382-8331
Mailing Address - Street 1:501 S. RANCHO DR., SUITE E-27
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106
Mailing Address - Country:US
Mailing Address - Phone:702-382-8331
Mailing Address - Fax:702-382-8332
Practice Address - Street 1:501 S. RANCHO DR., SUITE E-27
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106
Practice Address - Country:US
Practice Address - Phone:702-382-8331
Practice Address - Fax:702-382-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4091HHA-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV4091HHA-1OtherHOME HEALTH STATE LICENSE