Healthcare Provider Details
I. General information
NPI: 1528907664
Provider Name (Legal Business Name): HOMESTEAD BUSINESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
365 W A ST
FALLON NV
89406-2905
US
IV. Provider business mailing address
365 W A ST
FALLON NV
89406-2905
US
V. Phone/Fax
- Phone: 903-618-0731
- Fax:
- Phone: 903-618-0731
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311500000X |
| Taxonomy | Alzheimer Center (Dementia Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ASHER SYED
HUSAIN
Title or Position: OWNER
Credential:
Phone: 903-618-0731