Provider Demographics
NPI:1952350712
Name:A1 HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:A1 HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:GAREGIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARTALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-248-4345
Mailing Address - Street 1:3885 S DECATURE BLVD SUITE1055
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103
Mailing Address - Country:US
Mailing Address - Phone:702-248-4345
Mailing Address - Fax:702-248-7930
Practice Address - Street 1:3885 S DECATURE BLVD
Practice Address - Street 2:SUITE 1055
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103
Practice Address - Country:US
Practice Address - Phone:702-248-4345
Practice Address - Fax:702-248-7930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV124517251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV297101Medicare ID - Type Unspecified