Provider Demographics
NPI:1689917049
Name:BOYACK & ASSOCIATES INC
Entity Type:Organization
Organization Name:BOYACK & ASSOCIATES INC
Other - Org Name:BAI SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BOYACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-325-5928
Mailing Address - Street 1:PO BOX 82045
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-2045
Mailing Address - Country:US
Mailing Address - Phone:702-325-5928
Mailing Address - Fax:702-876-9110
Practice Address - Street 1:2980 S JONES BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5656
Practice Address - Country:US
Practice Address - Phone:702-325-5928
Practice Address - Fax:702-876-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20031426719311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility