MEDICARE: REM 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
1	385H00000X	Respite Care	16-00022798	NV
2	385H00000X	Respite Care	1000063-341	NV

General Provider Information

NPI Number	:	1679929483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REM NEVADA INC

Provider Business Mailing Address
First Line	:	8010 W SAHARA AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7905
Country	:	US
Telephone Number	:	702-889-9240
Fax Number	:	702-889-6545

Provider Business Practice Location Address
First Line	:	8010 W SAHARA AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7905
Country	:	US
Telephone Number	:	800-388-5150
Fax Number	:

Authorized Official
Title or Position	:	VP & SR. ASST GENERAL COUNSEL
Name	:	MARY PATRICIA RODENBERG-ROBERTS
Credential	:
Telephone Number	:	952-836-2234

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	02/12/2024

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Directions to “REM NEVADA INC ” Practice Location

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