MEDICARE: ADVISOR & CO. LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse
2	163WH1000X	Hospice Registered Nurse

General Provider Information

NPI Number	:	1225994858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVISOR & CO. LLC

Provider Business Mailing Address
First Line	:	4012 S RAINBOW BLVD STE 1021
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2010
Country	:	US
Telephone Number	:	725-321-4262
Fax Number	:

Provider Business Practice Location Address
First Line	:	4012 S RAINBOW BLVD STE 1021
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2010
Country	:	US
Telephone Number	:	725-321-4262
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR/ CHIEF CONSULTANT
Name	:	MR. BONN ANTHONY CERVANTES PAJE
Credential	:
Telephone Number	:	725-321-4262

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “ADVISOR & CO. LLC ” Practice Location

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