Provider Demographics
NPI:1679740229
Name:WASHOE COMPASSIONATE IN HOME CARE LLC
Entity type:Organization
Organization Name:WASHOE COMPASSIONATE IN HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:MAHONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-356-9830
Mailing Address - Street 1:850 MILL STREET
Mailing Address - Street 2:SUITE 205A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502
Mailing Address - Country:US
Mailing Address - Phone:775-356-9830
Mailing Address - Fax:775-333-9831
Practice Address - Street 1:850 MILL STREET
Practice Address - Street 2:SUITE 205A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502
Practice Address - Country:US
Practice Address - Phone:775-356-9830
Practice Address - Fax:775-333-9831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health