MEDICARE: NEVADA MENTAL CARE LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1053875831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA MENTAL CARE LLC

Provider Business Mailing Address
First Line	:	626 N RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	626 N RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1101
Country	:	US
Telephone Number	:	702-766-9142
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NNENNA OLUBAJO
Credential	:
Telephone Number	:	267-324-9300

Provider Enumeration Date	:	01/26/2019
Last Update Date	:	01/26/2019

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1164377149 — NEUROVINE BEHAVIORAL HEALTH LLC
Practice Location Address:

626 N RAINBOW BLVD
LAS VEGAS, NV
89107-1101

Practice Phone: 702-478-0404
Practice Fax:

1558641092 — DR. EUNICE UGOCHUKWU DNP, PMHNP-BC
Practice Location Address:

626 N RAINBOW BLVD
LAS VEGAS, NV
89107-1101

Practice Phone: 702-778-7782
Practice Fax: 702-333-4436

1083163182 — EXCEEDING HEALTHCARE SERVICES
Practice Location Address:

626 N RAINBOW BLVD
LAS VEGAS, NV
89107-1101

Practice Phone: 702-778-7782
Practice Fax: 702-333-4436

1104867076 — NEVADA CVS PHARMACY LLC
Practice Location Address:

6705 E LAKE MEAD BLVD
LAS VEGAS, NV
89156-1101

Practice Phone: 702-547-0220
Practice Fax:

1346255304 — WALGREEN CO
Practice Location Address:

1101 LAS VEGAS BLVD S
LAS VEGAS, NV
89104-1305

Practice Phone: 702-471-6844
Practice Fax:

Directions to “NEVADA MENTAL CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.