Organization
PTV1, INC.
Active
Other names
Home Health Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR JIMENEZ (ADMINISTRATOR/OWNER)
(702) 273-6658
Entity
Organization
Contact information
Practice address
160 E HORIZON DR, SUITE A, HENDERSON, NV 89015-7933
(702) 644-3600
Mailing address
160 E HORIZON DR, SUITE A, HENDERSON, NV 89015-7933
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005039969
—
NV
Enumeration date
03/29/2013
Last updated
01/02/2019
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