Healthcare Provider Details

I. General information

NPI: 1265805964
Provider Name (Legal Business Name): TTF GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 E DESERT ROSE DR
HENDERSON NV
89015-8013
US

IV. Provider business mailing address

1250 E SUNSET RD #5-450
LAS VEGAS NV
89120
US

V. Phone/Fax

Practice location:
  • Phone: 702-608-7238
  • Fax: 702-910-3621
Mailing address:
  • Phone: 702-608-7238
  • Fax: 702-910-3621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License NumberNV20141329104
License Number StateNV

VIII. Authorized Official

Name: DORA TOMPKINS
Title or Position: MANAGING MEMBER
Credential:
Phone: 702-608-7238