MEDICARE: LIFECARE INFUSION INC.

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	363L00000X	Nurse Practitioner
2	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1265074868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFECARE INFUSION INC.

Provider Business Mailing Address
First Line	:	6415 S FORT APACHE RD STE 175
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6746
Country	:	US
Telephone Number	:	702-330-0273
Fax Number	:	702-780-4887

Provider Business Practice Location Address
First Line	:	6415 S FORT APACHE RD STE 175
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-6746
Country	:	US
Telephone Number	:	702-665-5730
Fax Number	:	702-780-4887

Authorized Official
Title or Position	:	PRESIDENT/CEO/OWNER
Name	:	CLETUS AMADI
Credential	:
Telephone Number	:	702-303-6790

Provider Enumeration Date	:	10/15/2019
Last Update Date	:	02/08/2023

Similar Medicare Providers

1295066801 — CHRISTIAN IWOBI FNP
Practice Location Address:

6415 S FORT APACHE RD STE 185
LAS VEGAS, NV
89148-6746

Practice Phone: 702-530-2266
Practice Fax: 702-760-5818

1487051629 — MARY JO GILL
Practice Location Address:

9689 PINE THICKETT AVE
LAS VEGAS, NV
89147-6746

Practice Phone: 702-817-2636
Practice Fax:

1457852105 — BRANDY NICOLE MCCULLOUCH
Practice Location Address:

708 COWBOY CROSS AVE
N LAS VEGAS, NV
89081-6746

Practice Phone: 702-717-8705
Practice Fax:

1215408414 — ABSOLUTE WELLNESS CENTER LLC
Practice Location Address:

708 COWBOY CROSS AVE
NORTH LAS VEGAS, NV
89081-6746

Practice Phone: 702-337-8991
Practice Fax:

1699246660 — BRANDY NICOLE MCCULLOUCH
Practice Location Address:

708 COWBOY CROSS AVE
NORTH LAS VEGAS, NV
89081-6746

Practice Phone: 702-337-8991
Practice Fax:

1265024756 — CELESTE LACSAMANA
Practice Location Address:

6746 BRAVURA CT
LAS VEGAS, NV
89139-6763

Practice Phone: 702-883-2271
Practice Fax:

Directions to “LIFECARE INFUSION INC. ” 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.