Organization
INNOVATIVE CARE SOLUTIONS
Active
Other names
ICS
Organization subpart
No
Provider details
NPI number
Authorized official
BREONNA FLEMING (CHIEF EXECUTIVE OFFICER)
(702) 883-9700
Entity
Organization
Contact information
Practice address
10429 GOLD SHADOW AVE, LAS VEGAS, NV 89129-3315
(702) 883-9700
Mailing address
10429 GOLD SHADOW AVE, LAS VEGAS, NV 89129-3315
(702) 883-9700
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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