Healthcare Provider Details

I. General information

NPI: 1376403600
Provider Name (Legal Business Name): TOE CARE ON WHEELS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W SAHARA AVE STE 201
LAS VEGAS NV
89102-5821
US

IV. Provider business mailing address

3601 W SAHARA AVE STE 201
LAS VEGAS NV
89102-5821
US

V. Phone/Fax

Practice location:
  • Phone: 725-255-7865
  • Fax:
Mailing address:
  • Phone: 725-255-7865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARIA JILL BUENA ALFONSO
Title or Position: OWNER
Credential:
Phone: 725-255-7865