Provider Demographics
NPI:1699909077
Name:MEADOWS HOME HEALTH SERVICES, LLC.
Entity type:Organization
Organization Name:MEADOWS HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVER
Authorized Official - Suffix:
Authorized Official - Credentials:BS BM
Authorized Official - Phone:702-575-8862
Mailing Address - Street 1:6438 S TENAYA WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-6651
Mailing Address - Country:US
Mailing Address - Phone:702-405-4415
Mailing Address - Fax:702-405-4411
Practice Address - Street 1:6438 S TENAYA WAY
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-6651
Practice Address - Country:US
Practice Address - Phone:702-405-4415
Practice Address - Fax:702-405-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5509HHA-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health