Healthcare Provider Details

I. General information

NPI: 1851216998
Provider Name (Legal Business Name): COLBERTSKY HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 MONTECITO PKWY SUITE 100
LAS VEGAS NV
89149
US

IV. Provider business mailing address

4248 SPENCER ST APT 329
LAS VEGAS NV
89119-5589
US

V. Phone/Fax

Practice location:
  • Phone: 855-449-3356
  • Fax:
Mailing address:
  • Phone: 855-449-3356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL

VIII. Authorized Official

Name: CAMARI WILLIAMS
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 512-233-9281