Healthcare Provider Details

I. General information

NPI: 1740696285
Provider Name (Legal Business Name): LE'HOST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2014
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 W CRAIG RD
NORTH LAS VEGAS NV
89032-0217
US

IV. Provider business mailing address

595 E BROOKS AVE STE 313
NORTH LAS VEGAS NV
89030-3975
US

V. Phone/Fax

Practice location:
  • Phone: 248-990-2480
  • Fax: 248-547-2440
Mailing address:
  • Phone: 702-272-2824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. HENRY ADRIAN JOHNSON
Title or Position: VICE PRESIDENT
Credential:
Phone: 248-396-8472