Provider Demographics
NPI:1023335973
Name:ALMOST HOME ADULT DAYCARE
Entity type:Organization
Organization Name:ALMOST HOME ADULT DAYCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BONIELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-655-2101
Mailing Address - Street 1:4308 N DECATUR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-2702
Mailing Address - Country:US
Mailing Address - Phone:702-655-2101
Mailing Address - Fax:702-655-2537
Practice Address - Street 1:4308 N DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-2702
Practice Address - Country:US
Practice Address - Phone:702-655-2101
Practice Address - Fax:702-655-2537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization