Provider Demographics
NPI:1184892036
Name:BE WELL HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:BE WELL HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSHAKUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-994-8940
Mailing Address - Street 1:3110 S VALLEY VIEW BOULEVARD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8389
Mailing Address - Country:US
Mailing Address - Phone:702-644-9208
Mailing Address - Fax:702-644-9209
Practice Address - Street 1:3110 S VALLEY VIEW BOULEVARD
Practice Address - Street 2:SUITE 201
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8389
Practice Address - Country:US
Practice Address - Phone:702-644-9208
Practice Address - Fax:702-644-9209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVH1400231A139351251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health