MEDICARE: BECAUSE WE CARE

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1437449139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BECAUSE WE CARE

Provider Business Mailing Address
First Line	:	3325 W CRAIG RD # 1
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-5004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3325 W CRAIG RD # 1
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-5004
Country	:	US
Telephone Number	:	702-330-9602
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. KEVIN QUICK
Credential	:
Telephone Number	:	702-330-9602

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	04/14/2011

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Directions to “BECAUSE WE CARE ” Practice Location

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