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NPI Code Detail

MEDICARE: WESTCARE NEVADA INC

MEDICARE: WESTCARE NEVADA 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
1324500000XSubstance Abuse Rehabilitation FacilityN35000041112243NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306022025
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTCARE NEVADA INC
Provider Business Mailing Address
First Line : 1711 WHITNEY MESA DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-2080
Country : US
Telephone Number : 702-385-2090
Fax Number : 702-977-5949
Provider Business Practice Location Address
First Line : 5659 DUNCAN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2811
Country : US
Telephone Number : 702-385-2020
Fax Number : 702-658-0480
Authorized Official
Title or Position : COO
Name : MR. SHAWN A JENKINS
Credential :
Telephone Number : 702-385-2090
Provider Enumeration Date : 01/11/2008
Last Update Date : 05/20/2024

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Directions to “WESTCARE NEVADA INC ” Practice Location

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