Provider Demographics
NPI:1932107281
Name:PERSPECTIVE HOME HEALTH INC
Entity Type:Organization
Organization Name:PERSPECTIVE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTIANDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-948-5095
Mailing Address - Street 1:6045 S FORT APACHE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5644
Mailing Address - Country:US
Mailing Address - Phone:702-948-5095
Mailing Address - Fax:702-948-5115
Practice Address - Street 1:6045 S FORT APACHE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5644
Practice Address - Country:US
Practice Address - Phone:702-948-5095
Practice Address - Fax:702-948-5115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV346HHA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500728Medicaid
NV100500728Medicaid