Provider Demographics
NPI:1619046703
Name:A SIMPLE SOLUTION LLC
Entity Type:Organization
Organization Name:A SIMPLE SOLUTION LLC
Other - Org Name:DYNAMIC CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DILLON
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-388-1700
Mailing Address - Street 1:14260 VENTURA BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2734
Mailing Address - Country:US
Mailing Address - Phone:800-955-9111
Mailing Address - Fax:818-461-0677
Practice Address - Street 1:2865 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5307
Practice Address - Country:US
Practice Address - Phone:702-388-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003002252Medicaid