Provider Demographics
NPI:1639771066
Name:FOREVER HOME HEALTH LLC
Entity Type:Organization
Organization Name:FOREVER HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARRAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-493-8865
Mailing Address - Street 1:1600 E DESERT INN RD STE 284B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-2576
Mailing Address - Country:US
Mailing Address - Phone:702-493-8865
Mailing Address - Fax:
Practice Address - Street 1:1600 E DESERT INN RD STE 284B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-2576
Practice Address - Country:US
Practice Address - Phone:702-493-8865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty