MEDICARE: 3R HOLDINGS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	320800000X	Mental Illness Community Based Residential Treatment Facility
2	251S00000X	Community/Behavioral Health Agency
3	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1427692532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3R HOLDINGS LLC

Provider Business Mailing Address
First Line	:	2860 S BRONCO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5208
Country	:	US
Telephone Number	:	702-829-6234
Fax Number	:

Provider Business Practice Location Address
First Line	:	2860 S BRONCO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5208
Country	:	US
Telephone Number	:	702-829-6234
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	ANSHEL INDIG
Credential	:
Telephone Number	:	702-829-6234

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	01/07/2026

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