<Unavail>

LBN: Madea House Llc
<Unavail> is an health care organization with primary practice located at 903 Royalmile Way , North Las Vegas NV 89032-9001. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Meals, Agencies / Case Management. Agencies / Case Management is the primary health care specialty. Madea House Llc can be contacted via phone (702) 488-1472, or through Hughes, Andre via phone (702) 505-0330.

Contact Information

Primary practice address
903 Royalmile Way North Las Vegas NV 89032-9001
Phone: (702) 488-1472
Fax: (702) 816-2990
Website:
Map and Directions
Authorized official contact:
Name: Hughes, Andre
Phone: (702) 505-0330

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X 1235576323 Nevada
Agencies / Case Management 251B00000X 1235576323 Nevada

Profile Details

NPI number 1750811840
LBN Legal business name Madea House Llc
DBA Doing business as <Unavail>
Authorized official Hughes, Andre
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750811840 NPPES
Nevada MEDICAID 1235576323
Nevada MEDICAID 1669778213

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