Healthcare Provider Details

I. General information

NPI: 1831089754
Provider Name (Legal Business Name): NLCUASAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 SAINT ROSE PKWY STE 220H
HENDERSON NV
89074-7789
US

IV. Provider business mailing address

2777 PARADISE RD UNIT 2405
LAS VEGAS NV
89109-9116
US

V. Phone/Fax

Practice location:
  • Phone: 702-497-4553
  • Fax:
Mailing address:
  • Phone: 702-497-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NIKKI LAGARZA CUASAY
Title or Position: OWNER/MANAGER
Credential:
Phone: 702-497-4553