Provider Demographics
NPI:1194127993
Name:MILLARD HOLDINGS NEVADA LLC
Entity type:Organization
Organization Name:MILLARD HOLDINGS NEVADA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARAGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-439-3648
Mailing Address - Street 1:3311 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6206
Mailing Address - Country:US
Mailing Address - Phone:702-722-6060
Mailing Address - Fax:702-722-6061
Practice Address - Street 1:3311 S RAINBOW BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6206
Practice Address - Country:US
Practice Address - Phone:702-722-6060
Practice Address - Fax:702-722-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20141470833251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health