Provider Demographics
NPI:1215985858
Name:ALLTIME HOME HEALTH PROVIDERS
Entity type:Organization
Organization Name:ALLTIME HOME HEALTH PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAYETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-635-0673
Mailing Address - Street 1:1555 E FLAMINGO RD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5258
Mailing Address - Country:US
Mailing Address - Phone:702-733-6767
Mailing Address - Fax:702-733-6379
Practice Address - Street 1:1555 E FLAMINGO RD
Practice Address - Street 2:SUITE 311
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5258
Practice Address - Country:US
Practice Address - Phone:702-733-6767
Practice Address - Fax:702-733-6379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPENDING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health