Healthcare Provider Details

I. General information

NPI: 1942663034
Provider Name (Legal Business Name): ALMOST HOME ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

4308 N DECATUR BLVD
LAS VEGAS NV
89130-2702
US

IV. Provider business mailing address

4308 N DECATUR BLVD
LAS VEGAS NV
89130-2702
US

V. Phone/Fax

Practice location:
  • Phone: 702-655-2101
  • Fax:
Mailing address:
  • Phone: 702-655-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number5891ADC-5
License Number StateNV

VIII. Authorized Official

Name: MR. JEAN A KEMPNER
Title or Position: ADMINISTRATOR
Credential:
Phone: 847-227-7501