Healthcare Provider Details

I. General information

NPI: 1780936435
Provider Name (Legal Business Name): US HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2012
Last Update Date: 03/06/2020
Certification Date: 03/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 S CIMARRON RD
LAS VEGAS NV
89145-2447
US

IV. Provider business mailing address

9801 GAVIN STONE AVE
LAS VEGAS NV
89145-8608
US

V. Phone/Fax

Practice location:
  • Phone: 702-830-9740
  • Fax:
Mailing address:
  • Phone: 775-691-5274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberNV20121604166
License Number StateNV

VIII. Authorized Official

Name: MR. JAMES ARTHUR ROETS
Title or Position: MANAGING MEMBER
Credential:
Phone: 775-691-5274