Provider Demographics
NPI:1336598333
Name:HOSPITALITY HOUSEKEEPING LLC
Entity Type:Organization
Organization Name:HOSPITALITY HOUSEKEEPING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENGUCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-664-0463
Mailing Address - Street 1:2697 AARONDAVID DR
Mailing Address - Street 2:APARTMENT B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2697 AARONDAVID DR
Practice Address - Street 2:APARTMENT B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7552
Practice Address - Country:US
Practice Address - Phone:702-664-0463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1603490224320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities