Healthcare Provider Details

I. General information

NPI: 1174063085
Provider Name (Legal Business Name): CONFIDENCE HEALTH RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 TYLER WAY
SPARKS NV
89431-2173
US

IV. Provider business mailing address

5875 INGLESTON DR
SPARKS NV
89436-5014
US

V. Phone/Fax

Practice location:
  • Phone: 775-332-2116
  • Fax:
Mailing address:
  • Phone: 775-332-2116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number8637-PCS-0
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CAMELLA STEPHENS
Title or Position: DIRECTOR
Credential: RN
Phone: 775-848-1447