MEDICARE: KARING HEARTS BEHAVIORAL HEALTH SOLUTIONS 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	163WP0808X	Psychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number	:	1588500326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARING HEARTS BEHAVIORAL HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4245 VENUS FALLS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-5109
Country	:	US
Telephone Number	:	708-476-3858
Fax Number	:

Provider Business Practice Location Address
First Line	:	4245 VENUS FALLS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-5109
Country	:	US
Telephone Number	:	708-476-3858
Fax Number	:

Authorized Official
Title or Position	:	PMHNP-BC
Name	:	DANIELLE JORDAN
Credential	:	APRN
Telephone Number	:	708-476-3858

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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