Healthcare Provider Details

I. General information

NPI: 1760313746
Provider Name (Legal Business Name): SILVERWATCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 SOUTH 6TH ST SUITE #4751
LAS VEGAS NV
89101
US

IV. Provider business mailing address

35 E HORIZON RIDGE #110 UNIT 491
HENDERSON NV
89002
US

V. Phone/Fax

Practice location:
  • Phone: 725-353-5016
  • Fax:
Mailing address:
  • Phone: 725-772-5444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MARGUERITA RANAE SPEED
Title or Position: WELLNESS SPECIALIST
Credential:
Phone: 725-353-5016