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General NPI Number Information
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NPI Number | 1588932479
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Entity Type | Organization
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Legal Business Name | ACCLAIMED IN HOME CARE, LLC
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 1500 E TROPICANA AVE #221
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City | LAS VEGAS
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State | NV
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Zip | 89119-6514
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Country | US
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Telephone | 702-255-1239
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Fax | 702-256-1238
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Provider Business Mailing Address
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Address Line | 1500 E TROPICANA AVE #221
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City | LAS VEGAS
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State | NV
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Zip | 89119-6514
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Country | US
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Telephone | 702-255-1239
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Fax | 702-256-1238
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MS. SYDNEY LOUISE GENOVA
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Credential |
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Telephone | 702-255-1239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 5341PCS2
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License Number State | NV
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