Healthcare Provider Details

I. General information

NPI: 1669479879
Provider Name (Legal Business Name): ATTENTIVE HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 11/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8542 DEL WEBB BLVD
LAS VEGAS NV
89134-8676
US

IV. Provider business mailing address

8542 DEL WEBB BLVD
LAS VEGAS NV
89134-8676
US

V. Phone/Fax

Practice location:
  • Phone: 702-256-9000
  • Fax: 702-256-6285
Mailing address:
  • Phone: 702-256-9000
  • Fax: 702-256-6285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number297055
License Number StateNV

VIII. Authorized Official

Name: MS. EVA MAY THOMAS
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-256-9000