Healthcare Provider Details

I. General information

NPI: 1134030901
Provider Name (Legal Business Name): START 2 DAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 CHANDLER AVE
LAS VEGAS NV
89120-4070
US

IV. Provider business mailing address

5840 W CRAIG RD STE 120-253
LAS VEGAS NV
89130-2561
US

V. Phone/Fax

Practice location:
  • Phone: 702-706-4969
  • Fax:
Mailing address:
  • Phone: 702-706-4969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JAYDAN RANDALL WOODS-WILSON
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 702-706-4969