Provider Demographics
NPI:1942687504
Name:A BARIATRIC HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:A BARIATRIC HOME CARE SERVICES LLC
Other - Org Name:A BARIRATRIC HOME CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-822-0584
Mailing Address - Street 1:2150 N TENAYA WAY
Mailing Address - Street 2:1048
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0402
Mailing Address - Country:US
Mailing Address - Phone:702-522-7087
Mailing Address - Fax:
Practice Address - Street 1:2150 N TENAYA WAY
Practice Address - Street 2:1048
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0402
Practice Address - Country:US
Practice Address - Phone:702-522-7087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20151276029251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health