Provider Demographics
NPI:1477228104
Name:INDAHOUSE HOMEHEALTH CARE, LLC.
Entity type:Organization
Organization Name:INDAHOUSE HOMEHEALTH CARE, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RIZALDY
Authorized Official - Middle Name:BORJA
Authorized Official - Last Name:VILLASFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-606-3989
Mailing Address - Street 1:3305 SPRING MOUNTAIN RD STE 53
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-8620
Mailing Address - Country:US
Mailing Address - Phone:725-204-8351
Mailing Address - Fax:725-214-5555
Practice Address - Street 1:3305 SPRING MOUNTAIN RD STE 53
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8620
Practice Address - Country:US
Practice Address - Phone:725-204-8351
Practice Address - Fax:725-214-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health