Healthcare Provider Details

I. General information

NPI: 1225954795
Provider Name (Legal Business Name): LIFE WITHOUT LIMITS HOME CAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 CORAL WAY
DAYTON NV
89403-9017
US

IV. Provider business mailing address

304 CORAL WAY
DAYTON NV
89403-9017
US

V. Phone/Fax

Practice location:
  • Phone: 401-228-5715
  • Fax:
Mailing address:
  • Phone: 401-228-5715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA WEED
Title or Position: OWNER/MANAGER
Credential:
Phone: 401-228-5715