Healthcare Provider Details

I. General information

NPI: 1346604428
Provider Name (Legal Business Name): LOVING HANDS OF NEVADA HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 08/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 W LAKE MEAD PKWY STE 2240
HENDERSON NV
89015-8004
US

IV. Provider business mailing address

153 W LAKE MEAD PKWY STE 2240
HENDERSON NV
89015-8004
US

V. Phone/Fax

Practice location:
  • Phone: 702-566-2433
  • Fax:
Mailing address:
  • Phone: 702-566-2433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNV20161058473
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberNV20161058473
License Number StateNV

VIII. Authorized Official

Name: BERLINDA VALLEJOS
Title or Position: OWNER
Credential:
Phone: 702-566-2433