Healthcare Provider Details

I. General information

NPI: 1902220015
Provider Name (Legal Business Name): ROSARIO E MAGNO INTL STAFFING LAS VEGAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 06/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3909 S MARYLAND PKWY SUITE 214
LAS VEGAS NV
89119-7500
US

IV. Provider business mailing address

3909 S MARYLAND PKWY SUITE 214
LAS VEGAS NV
89119-7500
US

V. Phone/Fax

Practice location:
  • Phone: 702-369-1090
  • Fax: 702-369-1060
Mailing address:
  • Phone: 702-369-1090
  • Fax: 702-369-1060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2000183-319
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number6396PCS-5
License Number StateNV

VIII. Authorized Official

Name: FLORA DADO SAYSON
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 702-369-1090