MEDICARE: NEVADA COMMUNITY ASSOCITES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	252Y00000X	Early Intervention Provider Agency
4	253J00000X	Foster Care Agency
5	251E00000X	Home Health Agency
6	251300000X	Local Education Agency (LEA)
7	253Z00000X	In Home Supportive Care Agency
8	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1245526078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA COMMUNITY ASSOCITES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 335993
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89033-5993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5185 CAMINO AL NORTE
Second Line	:	SUITE #130
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2415
Country	:	US
Telephone Number	:	702-522-9962
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MISS CARLA LEWIS
Credential	:
Telephone Number	:	702-522-9962

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	01/24/2013

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