Provider Demographics
NPI:1265309033
Name:DAVID'S HAND RESIDENTIAL CARE LLC
Entity type:Organization
Organization Name:DAVID'S HAND RESIDENTIAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OCTAVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAURIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-680-6387
Mailing Address - Street 1:6054 DOROCA ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5574
Mailing Address - Country:US
Mailing Address - Phone:219-680-6387
Mailing Address - Fax:219-680-6387
Practice Address - Street 1:6054 DOROCA ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5574
Practice Address - Country:US
Practice Address - Phone:219-680-6387
Practice Address - Fax:219-680-6387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty