Organization
AMERICAN HOME COMPANION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MIGUEL MONTERO (GENERAL MANAGER)
(775) 826-8090
Entity
Organization
Contact information
Practice address
3708 LAKESIDE DR, SUITE 200, RENO, NV 89509
(775) 826-8090
(775) 826-9008
Mailing address
3708 LAKESIDE DR, STE 200, RENO, NV 89509-5238
(775) 826-8090
(775) 826-9008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
39288
NV
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003016623
—
NV
05
—
005814623
—
NV
05
—
100500261
—
NV
05
—
100500587
—
NV
01
—
9005048036
ATYPICAL PROVIDER ID
NV
01
—
9005048044
ATYPICAL PROVIDER ID
NV
01
—
9005048069
ATYPICAL PROVIDER ID
NV
01
—
9005051162
ATYPICAL PROVIDER ID
NV
05
—
M8081285-000
—
ID
Enumeration date
09/26/2006
Last updated
05/23/2018
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