Organization
ARDENT HOME HEALTH CARE
Active
Other names
Ardent Home Health Care Agency Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR TOMANENG JR. (ADMINISTRATOR)
(702) 476-5258
Entity
Organization
Contact information
Practice address
3311 S RAINBOW BLVD, STE 104, LAS VEGAS, NV 89146-6206
(702) 476-5258
(702) 476-6106
Mailing address
3311 S RAINBOW BLVD, STE 104, LAS VEGAS, NV 89146-6206
(702) 476-5258
(702) 476-6106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8477-HHA-0
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8477-HHA-0
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NV
Enumeration date
06/05/2016
Last updated
06/05/2016
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