Provider Demographics
NPI:1780048678
Name:CONFIDENCE HEALTH RESOURCES LLC
Entity type:Organization
Organization Name:CONFIDENCE HEALTH RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SLA SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CAMELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-848-1447
Mailing Address - Street 1:5875 INGLESTON DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-5014
Mailing Address - Country:US
Mailing Address - Phone:775-332-2116
Mailing Address - Fax:
Practice Address - Street 1:885 TYLER WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2173
Practice Address - Country:US
Practice Address - Phone:775-332-2116
Practice Address - Fax:775-657-8479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8637-PCS-03747P1801X
NVNV20071653239385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005040850OtherAPI #