Provider Demographics
NPI:1669479879
Name:ATTENTIVE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ATTENTIVE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-256-9000
Mailing Address - Street 1:8542 DEL WEBB BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-8676
Mailing Address - Country:US
Mailing Address - Phone:702-256-9000
Mailing Address - Fax:702-256-6285
Practice Address - Street 1:8542 DEL WEBB BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-8676
Practice Address - Country:US
Practice Address - Phone:702-256-9000
Practice Address - Fax:702-256-6285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV297055251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002902017Medicaid
NV005802017OtherNEVADA HOMEMAKER-RESPITE
NV003002223Medicaid
NV005802017OtherNEVADA HOMEMAKER-RESPITE