Healthcare Provider Details

I. General information

NPI: 1992345912
Provider Name (Legal Business Name): ANJELS NEST HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 11/20/2023
Certification Date: 01/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 W WIGWAM AVE #303
LAS VEGAS NV
89178
US

IV. Provider business mailing address

9420 W WIGWAM AVE. #303
LAS VEGAS NV
89178
US

V. Phone/Fax

Practice location:
  • Phone: 702-421-1259
  • Fax:
Mailing address:
  • Phone: 725-724-7847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MARIA WILLIAMS
Title or Position: PRESIDENT
Credential:
Phone: 725-724-7847