Provider Demographics
NPI:1619349271
Name:HOSPITALITY OUSEKEEPING LLC
Entity Type:Organization
Organization Name:HOSPITALITY OUSEKEEPING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BENGUCHE
Authorized Official - Suffix:
Authorized Official - Credentials:CARE GIVER
Authorized Official - Phone:702-334-8030
Mailing Address - Street 1:2697 AARONDAVID DR
Mailing Address - Street 2:APT B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7606
Mailing Address - Country:US
Mailing Address - Phone:702-334-8030
Mailing Address - Fax:
Practice Address - Street 1:2697 AARONDAVID DR
Practice Address - Street 2:APT B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7606
Practice Address - Country:US
Practice Address - Phone:702-334-8030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVG636404253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care