Provider Demographics
NPI:1205115417
Name:ADVOCARE HOME HEALTH LLC.
Entity type:Organization
Organization Name:ADVOCARE HOME HEALTH LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRABADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-489-3658
Mailing Address - Street 1:5594 S FORT APACHE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-3611
Mailing Address - Country:US
Mailing Address - Phone:702-489-3658
Mailing Address - Fax:702-489-5043
Practice Address - Street 1:5594 S FORT APACHE RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-3611
Practice Address - Country:US
Practice Address - Phone:702-489-3658
Practice Address - Fax:702-489-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6323HHA-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health