ADDUS HEALTHCARE INC
Adult Care Home
Las Vegas, Nevada
Provider NPI: 1366405227
Organization Information:Organization Name: ADDUS HEALTHCARE INC
Practice Location:
6128 W SAHARA AVE ROOM A LAS VEGAS, NV 89146 US
Tel: 702-359-3105 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6128 W SAHARA AVE ROOM A LAS VEGAS, NV 89146 US
Tel: 702-359-3105 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | ||
Y | 253Z00000X | NV | 5427PCS8 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100505778 | NV | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin