# HOMEBASE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760947634
- **Authorized official:** FRANCES MALINIS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (702) 410-7825

## Contact information

- **Practice address:** 3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
- **Practice address phone:** (702) 410-7825
- **Mailing address:** 3312 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1829
- **Mailing address phone:** (702) 410-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2019
- **Last updated:** 02/06/2019