Healthcare Provider Details
I. General information
NPI: 1962239491
Provider Name (Legal Business Name): HEALTHWISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2024
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
170 S GREEN VALLEY PKWY STE 300
HENDERSON NV
89012-3145
US
IV. Provider business mailing address
500 N RAINBOW BLVD STE 300
LAS VEGAS NV
89107-1061
US
V. Phone/Fax
- Phone: 702-344-0993
- Fax: 702-992-3539
- Phone: 702-344-0993
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW ANTHONY
LIMAS
Title or Position: OWNER
Credential:
Phone: 702-344-0993