4 Life Home Care LLC
Organization Active NPI In Home Supportive Care Agency · Las Vegas, NV
NPI 1932810397 · NPPES record last updated Dec 7, 2022
Key facts
- NPI
- 1932810397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- 4 LIFE HOME CARE LLC
- Practice address
- 8985 S Eastern Ave Ste 100
Las Vegas, NV 89123-4852 - Phone
- (702) 493-9650
- NPI assigned
- Dec 7, 2022
- Organization subpart
- No
Authorized official
- Name
- Michael Van
- Title
- Owner/President
- Phone
- (702) 493-9650
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes | ||
| Personal Care Attendant |
3747P1801X |
Addresses
Primary practice location
8985 S Eastern Ave Ste 100
Las Vegas, NV 89123-4852
Mailing address
8985 S Eastern Ave Ste 100
Las Vegas, NV 89123-4852
Phone (702) 493-9650
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All providers in Las Vegas, NV · In Home Supportive Care Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.