Healthcare Provider Details

I. General information

NPI: 1740641372
Provider Name (Legal Business Name): BRINGING ABOUT INDEPENDENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 S DURANGO DR STE 400
LAS VEGAS NV
89117-4456
US

IV. Provider business mailing address

PO BOX 82045
LAS VEGAS NV
89180-2045
US

V. Phone/Fax

Practice location:
  • Phone: 702-325-5928
  • Fax: 702-876-9110
Mailing address:
  • Phone: 702-325-5928
  • Fax: 702-876-9110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NATHAN D BOYACK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 702-325-5928