Organization
TREASURES ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MARTINEZ (PRESIDENT)
(702) 898-0052
Entity
Organization
Contact information
Practice address
1204 STEWART AVENUE, LAS VEGAS, NV 89101
(702) 898-0052
(702) 898-0053
Mailing address
PO BOX 231284, LAS VEGAS, NV 89105-1284
(702) 898-0052
(702) 898-0053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
H1400134
NV
251B00000X
Case Management Agency
H1400134
NV
251E00000X
Home Health Agency
H1400134
NV
251J00000X
Nursing Care Agency
Primary
H1400134
NV
302F00000X
Exclusive Provider Organization
H1400134
NV
310400000X
Assisted Living Facility
H1400134
NV
332B00000X
Durable Medical Equipment & Medical Supplies
H1400134
NV
385H00000X
Respite Care
H1400134
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502218
—
NV
05
—
100502220
—
NV
Enumeration date
07/27/2007
Last updated
07/27/2007
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