Provider Demographics
NPI:1154366045
Name:JADE HOME HEALTH INC
Entity type:Organization
Organization Name:JADE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CADACIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-382-0018
Mailing Address - Street 1:1141 S MARYLAND PKWY
Mailing Address - Street 2:SUITE 170
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-1738
Mailing Address - Country:US
Mailing Address - Phone:702-382-0018
Mailing Address - Fax:702-382-4852
Practice Address - Street 1:1141 S MARYLAND PKWY
Practice Address - Street 2:SUITE 170
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-1738
Practice Address - Country:US
Practice Address - Phone:702-382-0018
Practice Address - Fax:702-382-4852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health