Provider Demographics
NPI:1932918976
Name:A MOTHERS LOVE SENIOR HOME CARE
Entity type:Organization
Organization Name:A MOTHERS LOVE SENIOR HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNIE
Authorized Official - Middle Name:MIRANDA
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-204-1762
Mailing Address - Street 1:5907 BELVEDERE CANYON AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7507
Mailing Address - Country:US
Mailing Address - Phone:702-204-1762
Mailing Address - Fax:702-361-1164
Practice Address - Street 1:993 GOLD BEAR DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3846
Practice Address - Country:US
Practice Address - Phone:702-333-1027
Practice Address - Fax:702-361-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home