Provider Demographics
NPI:1154946515
Name:MY JOY HOME CARE AGENCY
Entity type:Organization
Organization Name:MY JOY HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:DENYSE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:CO-OWNER
Authorized Official - Phone:702-673-8879
Mailing Address - Street 1:3936 RUSKIN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6557
Mailing Address - Country:US
Mailing Address - Phone:702-673-8879
Mailing Address - Fax:702-854-9711
Practice Address - Street 1:3936 RUSKIN ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6557
Practice Address - Country:US
Practice Address - Phone:702-673-8879
Practice Address - Fax:702-854-9971
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW START SAFE HAVEN RESIDENTIAL HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care