Provider Demographics
NPI:1548622376
Name:PEOPLE'S CARE NEVADA INC
Entity type:Organization
Organization Name:PEOPLE'S CARE NEVADA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-287-3557
Mailing Address - Street 1:13920 CITY CENTER DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-5432
Mailing Address - Country:US
Mailing Address - Phone:909-287-3557
Mailing Address - Fax:
Practice Address - Street 1:7312 W CHEYENNE AVE
Practice Address - Street 2:STE 2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7428
Practice Address - Country:US
Practice Address - Phone:702-960-0018
Practice Address - Fax:702-522-6077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEOPLE'S CARE HOLDINGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVG62-09975385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9005058811OtherAPI