Provider Demographics
NPI:1871861880
Name:HHCSN INC.
Entity Type:Organization
Organization Name:HHCSN INC.
Other - Org Name:AT YOUR SERVICE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-273-6658
Mailing Address - Street 1:1785 E SAHARA AVE STE 485
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3757
Mailing Address - Country:US
Mailing Address - Phone:702-562-2348
Mailing Address - Fax:702-598-0010
Practice Address - Street 1:1785 E SAHARA AVE STE 485
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3757
Practice Address - Country:US
Practice Address - Phone:702-562-2348
Practice Address - Fax:702-598-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2000223-319253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNPI/API 9005049778Medicaid
NVNPI/API 9005049778Medicaid