San Vicente Home Care, Llc

LBN: San Vicente Home Care, Llc
San Vicente Home Care, Llc is an health care organization with primary practice located at 8460 Rancho Destino Rd , Las Vegas NV 89123-1633. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. San Vicente Home Care, Llc can be contacted via phone (702) 324-4442, or through Dela Pena, Visitacion T via phone (702) 324-4442.

Contact Information

Primary practice address
8460 Rancho Destino Rd Las Vegas NV 89123-1633
Fax: (702) 263-7065
Website:
Authorized official contact:
Name: Dela Pena, Visitacion T Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 358-AGC-25 Nevada

Profile Details

NPI number 1073032090
LBN Legal business name San Vicente Home Care, Llc
DBA Doing business as
Authorized official Dela Pena, Visitacion T Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2017
Last updated Jul 21st, 2022 - about 3 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 1073032090 NPPES
Nevada MEDICAID 005702025

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