Provider Demographics
NPI:1619769189
Name:W.A.Y.S HOME CARE & HEALTH AGENCY, LLC
Entity type:Organization
Organization Name:W.A.Y.S HOME CARE & HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEDRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-702-5222
Mailing Address - Street 1:900 S VALLEY VIEW BLVD STE 195
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-4430
Mailing Address - Country:US
Mailing Address - Phone:888-271-9297
Mailing Address - Fax:
Practice Address - Street 1:900 S VALLEY VIEW BLVD STE 195
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-4430
Practice Address - Country:US
Practice Address - Phone:888-271-9297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:W.A.Y.S. HOME CARE & HEALTH AGENCY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care