Provider Demographics
NPI:1689031965
Name:AA PERSONAL CARE LLC
Entity Type:Organization
Organization Name:AA PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KASSANDRA
Authorized Official - Middle Name:EDITH
Authorized Official - Last Name:ALFARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-619-4925
Mailing Address - Street 1:2330 PASEO DEL PRADO STE C308
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4339
Mailing Address - Country:US
Mailing Address - Phone:725-600-7953
Mailing Address - Fax:702-664-6933
Practice Address - Street 1:2330 PASEO DEL PRADO STE C308
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4339
Practice Address - Country:US
Practice Address - Phone:725-600-7953
Practice Address - Fax:702-664-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health