MEDICARE: HOUSE OF CHAMPIONS USA 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1457815961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE OF CHAMPIONS USA LLC

Provider Business Mailing Address
First Line	:	9525 KICKAPOO AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-2398
Country	:	US
Telephone Number	:	702-352-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	3975 N HUALAPAI WAY UNIT 252
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-7937
Country	:	US
Telephone Number	:	702-352-8888
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BROOKLYN R CRUZ
Credential	:
Telephone Number	:	702-352-8888

Provider Enumeration Date	:	01/29/2019
Last Update Date	:	03/07/2019

Similar Medicare Providers

1134691876 — TEAM CRISIS USA
Practice Location Address:

3975 N HUALAPAI WAY UNIT 252
LAS VEGAS, NV
89129-7937

Practice Phone: 702-352-8888
Practice Fax:

1063977411 — CENTERED HEALTH COUNSELING
Practice Location Address:

3975 N HUALAPAI WAY UNIT 252
LAS VEGAS, NV
89129-7937

Practice Phone: 702-528-6958
Practice Fax:

1205899689 — DONALD I KUZYK DPM
Practice Location Address:

7937 LILY TROTTER ST
NORTH LAS VEGAS, NV
89084-2408

Practice Phone: 805-732-6310
Practice Fax:

1477638468 — DONALD I KUZYK DPM INC
Practice Location Address:

7937 LILY TROTTER ST
NORTH LAS VEGAS, NV
89084-2408

Practice Phone: 805-732-6310
Practice Fax:

1174757611 — FIELDS OF WELLNESS HOMES
Practice Location Address:

1529 DUHAMEL WAY , 1529 DUHAMEL WAY
NORTH LAS VEGAS, NV
89032-7937

Practice Phone: 702-813-6573
Practice Fax:

1902030349 — MRS. PATRICIA GAIL CALDWELL
Practice Location Address:

1529 DUHAMEL WAY
NORTH LAS VEGAS, NV
89032-7937

Practice Phone: 702-813-6573
Practice Fax:

Directions to “HOUSE OF CHAMPIONS USA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.