Provider Demographics
NPI:1851438469
Name:HOMECARE AMERICA LLC
Entity Type:Organization
Organization Name:HOMECARE AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF SALES
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMPINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-891-9990
Mailing Address - Street 1:5967 HARRISON DRIVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2462
Mailing Address - Country:US
Mailing Address - Phone:702-891-9990
Mailing Address - Fax:702-547-0008
Practice Address - Street 1:5967 HARRISON DR
Practice Address - Street 2:SUITE 6
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2462
Practice Address - Country:US
Practice Address - Phone:702-891-9990
Practice Address - Fax:702-547-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1000551415332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100504036Medicaid
NV100504036Medicaid