Healthcare Provider Details

I. General information

NPI: 1619046703
Provider Name (Legal Business Name): A SIMPLE SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 S JONES BLVD
LAS VEGAS NV
89146-5307
US

IV. Provider business mailing address

14260 VENTURA BLVD SUITE 300
SHERMAN OAKS CA
91423-2734
US

V. Phone/Fax

Practice location:
  • Phone: 702-388-1700
  • Fax:
Mailing address:
  • Phone: 800-955-9111
  • Fax: 818-461-0677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: DILLON LUTZA
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 702-388-1700