Healthcare Provider Details

I. General information

NPI: 1669207049
Provider Name (Legal Business Name): AHCS WELL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 W CHARLESTON BLVD STE B
LAS VEGAS NV
89102-1829
US

IV. Provider business mailing address

PO BOX 3055
HUNTINGTON BEACH CA
92605-3055
US

V. Phone/Fax

Practice location:
  • Phone: 702-553-2577
  • Fax:
Mailing address:
  • Phone: 714-706-9030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL G ZEGLINSKI
Title or Position: CEO
Credential:
Phone: 714-706-9030