Provider Demographics
NPI:1013615376
Name:AD4 ENTERPRISES
Entity Type:Organization
Organization Name:AD4 ENTERPRISES
Other - Org Name:AD4 ENTERPRISE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QUALITY MANAGEMENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-858-0169
Mailing Address - Street 1:2870 S MARYLAND PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1548
Mailing Address - Country:US
Mailing Address - Phone:725-205-3382
Mailing Address - Fax:702-405-6687
Practice Address - Street 1:2870 S MARYLAND PKWY STE 210
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1548
Practice Address - Country:US
Practice Address - Phone:725-205-3382
Practice Address - Fax:702-405-6687
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AD4 ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-16
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health