Healthcare Provider Details

I. General information

NPI: 1033495320
Provider Name (Legal Business Name): VERAS HOME & HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 09/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E DESERT INN RD STE 284 LAS VEGAS NV 89169
LAS VEGAS NV
89169-2576
US

IV. Provider business mailing address

1600 E DESERT INN RD STE 284 LAS VEGAS NV 89169
LAS VEGAS NV
89169-2576
US

V. Phone/Fax

Practice location:
  • Phone: 702-488-2433
  • Fax: 702-633-5895
Mailing address:
  • Phone: 702-488-2433
  • Fax: 702-633-5895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number6214PCS-6
License Number StateNV

VIII. Authorized Official

Name: MRS. LILLYAN NEAL
Title or Position: OWNER
Credential:
Phone: 702-488-2433