Provider Demographics
NPI:1619507753
Name:MEDIC TOUCH HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:MEDIC TOUCH HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-846-5352
Mailing Address - Street 1:5600 SPRING MOUNTAIN RD STE 109
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8822
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5600 SPRING MOUNTAIN RD STE 109
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8822
Practice Address - Country:US
Practice Address - Phone:702-846-5352
Practice Address - Fax:702-620-5018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV20191228289OtherNEVADA SECRETARY OF STATE BUSINESS LICENSE