MEDICARE: WESTCARE NEVADA INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700223088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTCARE NEVADA INC

Provider Business Mailing Address
First Line	:	1711 WHITNEY MESA DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2080
Country	:	US
Telephone Number	:	702-385-2090
Fax Number	:	702-924-2575

Provider Business Practice Location Address
First Line	:	1161 S LOOP RD
Second Line	:	SUITE B
City	:	PAHRUMP
State	:	NV
Zip	:	89048-4764
Country	:	US
Telephone Number	:	775-751-6990
Fax Number	:	775-751-6992

Authorized Official
Title or Position	:	COO
Name	:	SHAWN A JENKINS
Credential	:
Telephone Number	:	702-385-2090

Provider Enumeration Date	:	05/28/2013
Last Update Date	:	05/20/2024

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Directions to “WESTCARE NEVADA INC ” Practice Location

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