Desert Pca

LBN: Addus Healthcare Inc
Desert Pca is an health care organization with primary practice located at 6128 W Sahara Ave Room A, Las Vegas NV 89146-3051. The organization recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Adult Care Home. Agencies / In Home Supportive Care is the primary health care specialty. Addus Healthcare Inc can be contacted via phone (702) 359-3105, or through Kumarich, Diane via phone (630) 296-3400.

Contact Information

Primary practice address
6128 W Sahara Ave Room A Las Vegas NV 89146-3051
Phone: (702) 359-3105
Fax: (702) 598-2041
Website:
Map and Directions
Authorized official contact:
Name: Kumarich, Diane RN, MS, MBA
Phone: (630) 296-3400

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 5427PCS8 Nevada
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1366405227
LBN Legal business name Addus Healthcare Inc
DBA Doing business as Desert Pca
Authorized official Kumarich, Diane RN, MS, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Nov 29th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366405227 NPPES
Nevada MEDICAID 100505778

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