| Organization Name: | LIFE CARE AT HOME OF NEVADA, INC |
| NPI Number: | 1902847338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA RAU (VICE PRESIDENT FINANCE) |
| Mailing Address: | 2700 E Sunset Rd Suite 36d Las Vegas |
| State: | NV US |
| Postal Code: | 891203506 |
| Phone Number: | 7023801006 |
| Fax Number: | 7023801142 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 01/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4635HPC-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |