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 codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes
311ZA0620X Custodial Care Facility, Adult Care Home––
372600000X Adult Companion––

Practice location

2422 Amoretti St
Henderson, NV 89052-5757

Phone 402-278-9985

Mailing address

2422 Amoretti St
Henderson, NV 89052-5757

Phone 402-278-9985

Authorized official

Tommika Kyles
Director
4022789985

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