Provider Demographics
NPI:1275070450
Name:HOME CARE ASSISTANCE LAS VEGAS, LLC
Entity type:Organization
Organization Name:HOME CARE ASSISTANCE LAS VEGAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-510-8170
Mailing Address - Street 1:7795 W SAHARA AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2790
Mailing Address - Country:US
Mailing Address - Phone:702-550-3185
Mailing Address - Fax:702-550-3184
Practice Address - Street 1:7795 W SAHARA AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2790
Practice Address - Country:US
Practice Address - Phone:702-550-3185
Practice Address - Fax:702-550-3184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7864PCS-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care