Organization · NPI-2
Big Heart Group Home LLC
Home Health Aide · Henderson, NV
NPI number1407703093
StatusActive
Last updated in NPPESMar 12, 2026
Details
- NPI
- 1407703093
- Entity type
- Organization (NPI-2)
- Legal business name
- Big Heart Group Home LLC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2026
- Certification date
- Mar 12, 2026
- Last updated
- Mar 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | |
| 372600000X | Adult Companion | – | – |
Practice location
2422 Amoretti StHenderson, NV 89052-5757
Phone 402-278-9985
Mailing address
2422 Amoretti StHenderson, NV 89052-5757
Phone 402-278-9985
Authorized official
Tommika Kyles
Director
4022789985
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