Organization
SRS HOME HEALTH LLC
Active
Other names
SRS Home Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WHALEN (CONTROLLER)
(702) 990-2290
Entity
Organization
Contact information
Practice address
2779 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4186
(702) 589-4975
Mailing address
2779 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4186
(702) 589-4975
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
NV
Enumeration date
02/12/2020
Last updated
07/23/2024
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