1205581790 NPI number — JOSEPH F FILLMORE

Table of content: JOSEPH F FILLMORE (NPI 1205581790)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205581790 NPI number — JOSEPH F FILLMORE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FILLMORE
Provider First Name:
JOSEPH
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205581790
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8670 W CHEYENNE, SUITE 135
Provider Second Line Business Mailing Address:
A HELPING HAND IN HOME HEALTH CARE
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-822-2600
Provider Business Mailing Address Fax Number:
702-822-1910

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8670 W CHEYENNE AVE STE 135
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89129-7460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-822-2600
Provider Business Practice Location Address Fax Number:
702-822-1910
Provider Enumeration Date:
02/14/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 374U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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