Healthcare Provider Details

I. General information

NPI: 1205596723
Provider Name (Legal Business Name): WEAVE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 W 1250 N
ST GEORGE UT
84770-4890
US

IV. Provider business mailing address

1421 E SUNSET RD STE 4
LAS VEGAS NV
89119-4959
US

V. Phone/Fax

Practice location:
  • Phone: 172-530-0604
  • Fax:
Mailing address:
  • Phone: 725-300-6040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DAVID NUESTRO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 725-300-6040