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Organization
AT HOME CARE SERVICE LLC
Active
Organization
AT HOME CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANCY TOM APRN (NURSE)
(702) 606-3445
Entity
Organization
Contact information
Practice address
2725 S JONES BLVD STE 101, LAS VEGAS, NV 89146-5605
(702) 384-2238
Mailing address
2725 S JONES BLVD STE 101, LAS VEGAS, NV 89146-5605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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