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NPI Code Detail

MEDICARE: HEALTHCARE PLUS LLC

MEDICARE: HEALTHCARE PLUS 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
1251K00000XPublic Health or Welfare Agency
2251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457849077
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHCARE PLUS LLC
Provider Business Mailing Address
First Line : 4718 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4709
Country : US
Telephone Number : 702-902-5400
Fax Number : 702-902-5401
Provider Business Practice Location Address
First Line : 4723 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4742
Country : US
Telephone Number : 702-448-3332
Fax Number : 702-902-5401
Authorized Official
Title or Position : MANAGING EMPLOYEE
Name : COSMAS EZE
Credential : THERAPIST
Telephone Number : 702-448-3332
Provider Enumeration Date : 04/30/2018
Last Update Date : 11/20/2019

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Directions to “HEALTHCARE PLUS LLC ” Practice Location

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