Fajardo, Lucy Villahermosa

Fajardo, Lucy Villahermosa is an sole proprietor health care provider with primary practice located at 517 Count Avenue , North Las Vegas NV 89030. She recently has 6 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Fajardo, Lucy Villahermosa can be contacted via phone (702) 858-5089.

Contact Information

Primary practice address
517 Count Avenue North Las Vegas NV 89030
Phone: (702) 858-5089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care 385H00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1578092862
LBN Legal business name Fajardo, Lucy Villahermosa
Credentials OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2017
Last updated Aug 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578092862 NPPES
Nevada MEDICAID 1578092862

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