Provider Demographics
NPI:1255641460
Name:OCEAN HOME HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:OCEAN HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DEVON
Authorized Official - Last Name:LEWELLYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-807-9392
Mailing Address - Street 1:8871 W FLAMINGO RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8729
Mailing Address - Country:US
Mailing Address - Phone:702-522-6822
Mailing Address - Fax:702-868-6205
Practice Address - Street 1:8871 W FLAMINGO RD STE 202
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8729
Practice Address - Country:US
Practice Address - Phone:702-522-6822
Practice Address - Fax:702-868-6205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home