Healthcare Provider Details

I. General information

NPI: 1770412397
Provider Name (Legal Business Name): ALWAYS ANGELS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4680 S EASTERN AVE STE C
LAS VEGAS NV
89119-6192
US

IV. Provider business mailing address

4680 S EASTERN AVE STE C
LAS VEGAS NV
89119-6192
US

V. Phone/Fax

Practice location:
  • Phone: 725-204-1367
  • Fax: 725-241-5454
Mailing address:
  • Phone: 725-204-1367
  • Fax: 725-241-5454

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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LETICIA BALTAZAR
Title or Position: ADMINISTRATOR
Credential: BALTAZAR
Phone: 725-204-1367