MEDICARE: CHANGING TOMORROWS LLC

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1730658998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANGING TOMORROWS LLC

Provider Business Mailing Address
First Line	:	3620 MARKAM ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2922
Country	:	US
Telephone Number	:	702-491-2847
Fax Number	:	702-605-8103

Provider Business Practice Location Address
First Line	:	3620 MARKAM ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2922
Country	:	US
Telephone Number	:	702-491-2847
Fax Number	:	702-605-8103

Authorized Official
Title or Position	:	CO-OWNER - CFO
Name	:	MR. JEFFREY J LASPINA
Credential	:	MA
Telephone Number	:	702-491-2847

Provider Enumeration Date	:	11/17/2018
Last Update Date	:	11/17/2018

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