Provider Demographics
NPI:1215076963
Name:OROSAY, LLC
Entity type:Organization
Organization Name:OROSAY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-878-2495
Mailing Address - Street 1:2810 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE E-45
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1921
Mailing Address - Country:US
Mailing Address - Phone:702-878-2495
Mailing Address - Fax:702-878-2490
Practice Address - Street 1:2810 W CHARLESTON BLVD
Practice Address - Street 2:SUITE E-45
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1921
Practice Address - Country:US
Practice Address - Phone:702-878-2495
Practice Address - Fax:702-878-2490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4180HHA-3251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
297120Medicare ID - Type Unspecified