Provider Demographics
NPI:1285373134
Name:SHG PERSONAL CARE SERVICES
Entity type:Organization
Organization Name:SHG PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-238-1381
Mailing Address - Street 1:PO BOX 33910
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-3910
Mailing Address - Country:US
Mailing Address - Phone:765-238-1381
Mailing Address - Fax:
Practice Address - Street 1:3753 HOWARD HUGHES PKWY # 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-8916
Practice Address - Country:US
Practice Address - Phone:702-843-0579
Practice Address - Fax:702-418-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health