MEDICARE: CARE CONNECTORS

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	1008049573	NV

General Provider Information

NPI Number	:	1518105188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CONNECTORS

Provider Business Mailing Address
First Line	:	PO BOX 230696
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123
Country	:	US
Telephone Number	:	702-425-3243
Fax Number	:	702-430-1681

Provider Business Practice Location Address
First Line	:	4952 DANUBE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3837
Country	:	US
Telephone Number	:	702-425-3243
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. JODI ENGAN
Credential	:
Telephone Number	:	702-425-3243

Provider Enumeration Date	:	02/04/2009
Last Update Date	:	02/04/2009

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Directions to “CARE CONNECTORS ” Practice Location

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