MEDICARE: SAMSARA ADDE 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	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1891585071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMSARA ADDE LLC

Provider Business Mailing Address
First Line	:	83 PARKER RANCH DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-2613
Country	:	US
Telephone Number	:	702-713-4501
Fax Number	:

Provider Business Practice Location Address
First Line	:	4660 S EASTERN AVE STE 203A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6139
Country	:	US
Telephone Number	:	702-713-4501
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	HECTOR GEOVANI PEREZ MARTINEZ
Credential	:
Telephone Number	:	702-713-4501

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	02/12/2026

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Directions to “SAMSARA ADDE LLC ” Practice Location

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