Provider Demographics
NPI:1700159662
Name:NEVADA SENIOR CARE SERVICES, LLC
Entity Type:Organization
Organization Name:NEVADA SENIOR CARE SERVICES, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-336-5333
Mailing Address - Street 1:205 REDFIELD PKWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6581
Mailing Address - Country:US
Mailing Address - Phone:775-336-5333
Mailing Address - Fax:775-826-1118
Practice Address - Street 1:205 REDFIELD PKWY
Practice Address - Street 2:SUITE 204
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6581
Practice Address - Country:US
Practice Address - Phone:775-336-5333
Practice Address - Fax:775-826-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5497PCS-2253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care