MEDICARE: NEIGHBORHOOD CLINIC NV LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	261QP2300X	Primary Care Clinic/Center
3	101YM0800X	Mental Health Counselor
4	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1093433773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD CLINIC NV LLC

Provider Business Mailing Address
First Line	:	8488 ROZITA LEE AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-4772
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3847
Country	:	US
Telephone Number	:	702-208-9408
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TRENT HOFMOCKEL
Credential	:
Telephone Number	:	702-425-8105

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	02/09/2026

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