Provider Demographics
NPI:1518556166
Name:TOWN CENTER HOME HEALTHCARE INC.
Entity type:Organization
Organization Name:TOWN CENTER HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KORCZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:702-416-4880
Mailing Address - Street 1:4225 FIDUS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3749
Mailing Address - Country:US
Mailing Address - Phone:702-247-4826
Mailing Address - Fax:
Practice Address - Street 1:4225 FIDUS DR STE 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3749
Practice Address - Country:US
Practice Address - Phone:702-247-4826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health