MEDICARE: US HOLDINGS 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	251S00000X	Community/Behavioral Health Agency	NV20121604166	NV

General Provider Information

NPI Number	:	1780936435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US HOLDINGS LLC

Provider Business Mailing Address
First Line	:	9801 GAVIN STONE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-8608
Country	:	US
Telephone Number	:	775-691-5274
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 S CIMARRON RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-2447
Country	:	US
Telephone Number	:	702-830-9740
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. JAMES ARTHUR ROETS
Credential	:
Telephone Number	:	775-691-5274

Provider Enumeration Date	:	10/04/2012
Last Update Date	:	03/06/2020

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