Ida'S House

LBN: Ida'S House
Ida'S House is an health care organization with primary practice located at 4022 Allyson Rae St , North Las Vegas NV 89032-0258. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Ida'S House can be contacted via phone (702) 612-6787, or through Glenn, Connie via phone (702) 612-6787.

Contact Information

Primary practice address
4022 Allyson Rae St North Las Vegas NV 89032-0258
Phone: (702) 612-6787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Glenn, Connie
Phone: (702) 612-6787

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1831587906
LBN Legal business name Ida'S House
DBA Doing business as
Authorized official Glenn, Connie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2014
Last updated Dec 24th, 2014 - about 10 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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