Healthcare Provider Details

I. General information

NPI: 1639195589
Provider Name (Legal Business Name): ASSIST CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4865 W NEVSO DR
LAS VEGAS NV
89103-3787
US

IV. Provider business mailing address

4865 W NEVSO DR
LAS VEGAS NV
89103-3787
US

V. Phone/Fax

Practice location:
  • Phone: 702-889-8007
  • Fax: 702-889-8026
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH1387
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KEVIN REXFORD
Title or Position: PRESIDENT
Credential:
Phone: 702-889-8007