Provider Demographics
NPI:1154737914
Name:HEALTH CARE PROVIDERS
Entity type:Organization
Organization Name:HEALTH CARE PROVIDERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-248-7783
Mailing Address - Street 1:3885 S DECATUR BLVD
Mailing Address - Street 2:1060
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-5855
Mailing Address - Country:US
Mailing Address - Phone:702-248-7783
Mailing Address - Fax:702-248-7791
Practice Address - Street 1:3885 S DECATUR BLVD
Practice Address - Street 2:1060
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-5855
Practice Address - Country:US
Practice Address - Phone:702-248-7783
Practice Address - Fax:702-248-7791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based