Provider Demographics
NPI:1639122294
Name:ALOHA HOME HEALTH
Entity Type:Organization
Organization Name:ALOHA HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:PASIMIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-880-7771
Mailing Address - Street 1:801 S RANCHO DR
Mailing Address - Street 2:STE. A-2
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-3854
Mailing Address - Country:US
Mailing Address - Phone:702-880-7771
Mailing Address - Fax:702-631-7778
Practice Address - Street 1:801 S RANCHO DR
Practice Address - Street 2:STE. A-2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-3854
Practice Address - Country:US
Practice Address - Phone:702-880-7771
Practice Address - Fax:702-631-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4274HHA-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV610945000OtherWORKERS' COMPENSATION
NV610945000OtherWORKERS' COMPENSATION