Provider Demographics
NPI:1770011157
Name:LANDY'S CARE LLC
Entity Type:Organization
Organization Name:LANDY'S CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:TOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-747-9888
Mailing Address - Street 1:4365 RAYNHAM ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-3834
Mailing Address - Country:US
Mailing Address - Phone:702-747-9888
Mailing Address - Fax:702-995-0517
Practice Address - Street 1:4365 RAYNHAM ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-3834
Practice Address - Country:US
Practice Address - Phone:702-747-9888
Practice Address - Fax:702-995-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8429-PCS-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health