Provider Demographics
NPI:1811269079
Name:NEVADA'S CHOICE PCA, INC
Entity type:Organization
Organization Name:NEVADA'S CHOICE PCA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PARIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAYARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-630-4404
Mailing Address - Street 1:8695 S EASTERN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2839
Mailing Address - Country:US
Mailing Address - Phone:702-529-1010
Mailing Address - Fax:702-319-4604
Practice Address - Street 1:8695 S EASTERN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2839
Practice Address - Country:US
Practice Address - Phone:702-529-1010
Practice Address - Fax:702-319-4604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care