Healthcare Provider Details

I. General information

NPI: 1669819934
Provider Name (Legal Business Name): WESTCARE NEVADA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 HARRIS SPRINGS RD
LAS VEGAS NV
89124-9215
US

IV. Provider business mailing address

1711 WHITNEY MESA DR
HENDERSON NV
89014-2080
US

V. Phone/Fax

Practice location:
  • Phone: 702-872-5382
  • Fax: 702-872-5381
Mailing address:
  • Phone: 702-385-2090
  • Fax: 702-977-5949

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 Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SHAWN A JENKINS
Title or Position: COO
Credential:
Phone: 702-385-2090