MEDICARE: REM NEVADA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1043474232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REM NEVADA

Provider Business Mailing Address
First Line	:	5693 SOUTH JONES
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118
Country	:	US
Telephone Number	:	702-889-9240
Fax Number	:	702-889-6945

Provider Business Practice Location Address
First Line	:	5693 SOUTH JONES
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118
Country	:	US
Telephone Number	:	702-889-9240
Fax Number	:	702-889-6945

Authorized Official
Title or Position	:	COO
Name	:	BRETT IAN COHEN
Credential	:
Telephone Number	:	800-388-5150

Provider Enumeration Date	:	07/16/2008
Last Update Date	:	04/22/2023

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Directions to “REM NEVADA ” Practice Location

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