Healthcare Provider Details

I. General information

NPI: 1033619697
Provider Name (Legal Business Name): US HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2018
Last Update Date: 03/06/2020
Certification Date: 03/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 MILL ST
RENO NV
89502-1321
US

IV. Provider business mailing address

4780 ARVILLE ST
LAS VEGAS NV
89103-5402
US

V. Phone/Fax

Practice location:
  • Phone: 775-636-7767
  • Fax: 702-830-9741
Mailing address:
  • Phone: 702-830-9740
  • Fax: 702-830-9741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberNV20121604166
License Number StateNV

VIII. Authorized Official

Name: JAMES ARTHUR ROETS
Title or Position: MANAGING PARTNER
Credential:
Phone: 702-830-9740