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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
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4251B00000XCase Management Agency
5251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851574305
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 : 702-924-2575
Provider Business Practice Location Address
First Line : 323 N MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3130
Country : US
Telephone Number : 702-853-3330
Fax Number : 702-924-2575
Authorized Official
Title or Position : COO
Name : SHAWN A JENKINS
Credential :
Telephone Number : 702-385-2090
Provider Enumeration Date : 12/06/2007
Last Update Date : 05/20/2024

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Directions to “WESTCARE NEVADA INC ” Practice Location

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