Provider Demographics
NPI:1619360740
Name:ADVISACARE SOLUTIONS OF NEVADA, INC.
Entity Type:Organization
Organization Name:ADVISACARE SOLUTIONS OF NEVADA, INC.
Other - Org Name:ADVIASCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-464-1117
Mailing Address - Street 1:1840 E WARM SPRINGS RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4523
Mailing Address - Country:US
Mailing Address - Phone:702-896-6393
Mailing Address - Fax:
Practice Address - Street 1:1840 E WARM SPRINGS RD
Practice Address - Street 2:STE. 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4523
Practice Address - Country:US
Practice Address - Phone:702-896-6393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health