Healthcare Provider Details

I. General information

NPI: 1144838756
Provider Name (Legal Business Name): A NEXT GENERATION ADHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8225 W SAHARA AVE STE H
LAS VEGAS NV
89117-8929
US

IV. Provider business mailing address

8225 W SAHARA AVE STE H
LAS VEGAS NV
89117-8929
US

V. Phone/Fax

Practice location:
  • Phone: 702-476-2899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIE INGUANZO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 702-476-2899