Provider Demographics
NPI:1487733184
Name:HOME HEALTH SERVICES
Entity type:Organization
Organization Name:HOME HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D, MBA
Authorized Official - Phone:702-254-7100
Mailing Address - Street 1:145 E RENO AVE
Mailing Address - Street 2:#E8
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-1114
Mailing Address - Country:US
Mailing Address - Phone:702-254-7100
Mailing Address - Fax:702-254-9016
Practice Address - Street 1:145 E RENO AVE
Practice Address - Street 2:#E8
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-1114
Practice Address - Country:US
Practice Address - Phone:702-254-7100
Practice Address - Fax:702-254-9016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1150880001Medicare ID - Type UnspecifiedMEDICARE PROVIDER #