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Organization
AT HOME CAREGIVERS, LLC
Active
Organization
AT HOME CAREGIVERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD C SIMON (ASSISTANT ADMINISTRATOR)
(702) 240-3800
Entity
Organization
Contact information
Practice address
3017 W CHARLESTON BLVD STE 12, LAS VEGAS, NV 89102-1927
(702) 240-3800
Mailing address
3017 W CHARLESTON BLVD STE 12, LAS VEGAS, NV 89102-1927
(702) 240-3800
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NULL
372500000X
Chore Provider
Primary
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235454521
—
NV
Enumeration date
01/08/2019
Last updated
08/08/2022
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