Healthcare Provider Details

I. General information

NPI: 1598626327
Provider Name (Legal Business Name): SHM MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6670 S TENAYA WAY STE 190
LAS VEGAS NV
89113-1964
US

IV. Provider business mailing address

5649 FAIRMEADE WAY
LAS VEGAS NV
89135-4040
US

V. Phone/Fax

Practice location:
  • Phone: 702-329-4115
  • Fax: 702-329-4115
Mailing address:
  • Phone: 702-329-4115
  • Fax: 702-329-4115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIRGINIA HARDIE
Title or Position: OWNER/PRACTITIONER
Credential: MD
Phone: 402-658-3191