702 Caregivers, LLC

Organization Active NPI In Home Supportive Care Agency · Las Vegas, NV

NPI 1427419795 · NPPES record last updated Mar 15, 2016

Key facts

NPI
1427419795
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
702 CAREGIVERS, LLC
Practice address
2780 S Jones Blvd Ste 105B
Las Vegas, NV 89146-5625
Phone
(702) 333-1488
NPI assigned
Mar 15, 2016
Organization subpart
No

Authorized official

Name
Dmitriy Shukan
Title
Admin
Phone
(702) 333-1488

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 143

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 143

National Provider Directory

Tax ID family
702 Caregivers LLC (4 organizations share this tax ID)

Locations

2780 S Jones Blvd
Ste 105B
Las Vegas, NV 89146

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

2780 S Jones Blvd Ste 105B
Las Vegas, NV 89146-5625

Mailing address

2780 S Jones Blvd Ste 105B
Las Vegas, NV 89146-5625

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · In Home Supportive Care Agency in Nevada

Sources for this page

Verify at the official NPI Registry.