Provider Demographics
NPI:1992774624
Name:ADVANCED PERSONAL CARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:ADVANCED PERSONAL CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CROCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-262-9949
Mailing Address - Street 1:8290 W SAHARA AVE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8931
Mailing Address - Country:US
Mailing Address - Phone:702-262-9949
Mailing Address - Fax:702-446-5093
Practice Address - Street 1:8290 W SAHARA AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8931
Practice Address - Country:US
Practice Address - Phone:702-262-9949
Practice Address - Fax:702-446-5093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005054679Medicaid
NV100505321Medicaid
NV9005041478Medicaid
NV100503881Medicaid
NV1992774624Medicaid