Healthcare Provider Details
I. General information
NPI: 1831799303
Provider Name (Legal Business Name): JORLIN AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2020
Last Update Date: 10/26/2020
Certification Date: 10/26/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
955 W CRAIG RD STE 114
NORTH LAS VEGAS NV
89032-0284
US
IV. Provider business mailing address
8509 CAPELLA RICO AVE
LAS VEGAS NV
89117-9055
US
V. Phone/Fax
- Phone: 702-299-5007
- Fax:
- Phone: 702-299-5007
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
LINDA
JEAN
EVANS
Title or Position: PRESIDENT, CEO, OWNER-MANAGER
Credential:
Phone: 702-299-5007