# NEVADA PCA, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nevada PCA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598135543
- **Authorized official:** EDGAR JIMENEZ (OWNER)
- **Authorized official phone:** (702) 273-6658

## Contact information

- **Practice address:** 332 S DECATUR BLVD, LAS VEGAS, NV 89107-2804
- **Practice address phone:** (702) 665-5654
- **Practice address fax:** (702) 665-5838
- **Mailing address:** 332 S DECATUR BLVD, LAS VEGAS, NV 89107-2804
- **Mailing address phone:** (702) 665-5654
- **Mailing address fax:** (702) 665-5838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NV | Yes |

## Other

- **Enumeration date:** 10/03/2015
- **Last updated:** 02/20/2019