29D2174520 CLIA NUMBER - 1ST PARADISE PERSONAL CARE LLC

Laboratory Demographics

CLIA Number: 29D2174520

Facility Name: 1ST PARADISE PERSONAL CARE LLC

Facility Address:
3230 POLARIS AVE STE 2
LAS VEGAS, NV
ZIP 89102
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Facility Phone Number: 702 826-8424

Facility Type: Other - PERSONALCARE SVCS IN HOM

Certificate Type: Waiver

NPI Number: 1033629746

Taxonomy: 3747P1801X - Technician
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

CLIA Record

Field Name	Field Value
CLIA Number	29D2174520
LAB Type	Other - PERSONALCARE SVCS IN HOM
Facility Name	1ST PARADISE PERSONAL CARE LLC
Street	3230 POLARIS AVE STE 2
City	LAS VEGAS
State	NV
ZIP	89102
Phone	702 826-8424
CertificateType	4
CertificateEffectiveDate	11/4/2023
CertificateExpirationDate	11/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024