Provider Demographics
NPI:1396288205
Name:D'S SENIOR SERVICES
Entity type:Organization
Organization Name:D'S SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GAEDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-328-8939
Mailing Address - Street 1:908 ROYAL PLUM LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-1428
Mailing Address - Country:US
Mailing Address - Phone:702-328-8939
Mailing Address - Fax:
Practice Address - Street 1:908 ROYAL PLUM LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-1428
Practice Address - Country:US
Practice Address - Phone:702-328-8939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D'S SENIOR SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-24
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20131604557311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility