Provider Demographics
NPI:1750030920
Name:HOME HEALTH SERVICES OF NEVADA LLC
Entity Type:Organization
Organization Name:HOME HEALTH SERVICES OF NEVADA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUDIAMAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-588-3428
Mailing Address - Street 1:3100 W SAHARA AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-6001
Mailing Address - Country:US
Mailing Address - Phone:702-588-3428
Mailing Address - Fax:636-212-9019
Practice Address - Street 1:3100 W SAHARA AVE STE 116
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-6001
Practice Address - Country:US
Practice Address - Phone:702-588-3428
Practice Address - Fax:636-212-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health