Healthcare Provider Details

I. General information

NPI: 1770950255
Provider Name (Legal Business Name): CAREMORE HEALTH PLAN OF NEVADA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 N TENAYA WAY
LAS VEGAS NV
89128-0427
US

IV. Provider business mailing address

12900 PARK PLAZA DR STE 150
CERRITOS CA
90703-9329
US

V. Phone/Fax

Practice location:
  • Phone: 702-233-4950
  • Fax:
Mailing address:
  • Phone: 562-677-3526
  • Fax: 562-977-6141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: SACHIN JAIN
Title or Position: PRESIDENT
Credential: MD
Phone: 888-291-1358