Provider Demographics
NPI:1184922312
Name:CANA HOMEHEALTH AGENCY LLC
Entity type:Organization
Organization Name:CANA HOMEHEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-331-0643
Mailing Address - Street 1:4535 W SAHARA AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-3625
Mailing Address - Country:US
Mailing Address - Phone:702-331-0643
Mailing Address - Fax:702-331-0657
Practice Address - Street 1:4535 W SAHARA AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-3625
Practice Address - Country:US
Practice Address - Phone:702-331-0643
Practice Address - Fax:702-331-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health