Basic Information
| Provider Information | |||||||||
| NPI: | 1285281063 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OROZCO-HERNANDEZ | ||||||||
| FirstName: | LUIS | ||||||||
| MiddleName: | ENRIQUE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 70 E. HORIZON RIDGE PKWY. | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89002 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 70 E. HORIZON RIDGE PKWY. | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026443600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2019 | ||||||||
| LastUpdateDate: | 08/26/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 372500000X | N | Nursing Service Related Providers | Chore Provider | 372600000X | N | Nursing Service Related Providers | Adult Companion | 3747A0650X | N | Nursing Service Related Providers | Technician | Attendant Care Provider | 376J00000X | N | Nursing Service Related Providers | Homemaker | 3747P1801X | Y | Nursing Service Related Providers | Technician | Personal Care Attendant |
No ID Information.