Provider Demographics
NPI:1881332872
Name:ARIES FAMILY CARE LLC
Entity type:Organization
Organization Name:ARIES FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATALINA
Authorized Official - Middle Name:ANA
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:705-890-0892
Mailing Address - Street 1:1912 S MARYLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3106
Mailing Address - Country:US
Mailing Address - Phone:702-890-0892
Mailing Address - Fax:702-629-5800
Practice Address - Street 1:1912 S MARYLAND PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3106
Practice Address - Country:US
Practice Address - Phone:702-890-0892
Practice Address - Fax:702-629-5800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV10608-PCS-0OtherNEVADA BUREAU OF HEALTH CARE QUALITY AND COMPLIANCE