Healthcare Provider Details

I. General information

NPI: 1346038502
Provider Name (Legal Business Name): WESTCARE NEVADA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 N MARYLAND PKWY
LAS VEGAS NV
89101-3130
US

IV. Provider business mailing address

1711 WHITNEY MESA DR
HENDERSON NV
89014-2080
US

V. Phone/Fax

Practice location:
  • Phone: 702-385-3330
  • Fax:
Mailing address:
  • Phone: 702-385-2090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SHAWN ALLEN JENKINS
Title or Position: COO
Credential:
Phone: 559-251-4800