MEDICARE: LIFESTYLE REMEDIES WELLNESS CENTER 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	147032590	OTHER	NV	DRIVER LICENSE

General Provider Information

NPI Number	:	1932676251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFESTYLE REMEDIES WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	6330 W AZURE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-7287
Country	:	US
Telephone Number	:	702-800-1932
Fax Number	:

Provider Business Practice Location Address
First Line	:	3646 LAS VEGAS BLVD N STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-1560
Country	:	US
Telephone Number	:	702-800-1932
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANDRE EAGLES
Credential	:
Telephone Number	:	702-680-5533

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	10/24/2018

Similar Medicare Providers

1669942959 — BATYAH NAVA SARIT BSW
Practice Location Address:

3646 LAS VEGAS BLVD N STE D
LAS VEGAS, NV
89115-1560

Practice Phone: 702-630-3911
Practice Fax:

1295236552 — JESSICA WAGGERBY
Practice Location Address:

1915 SIMMONS ST APT 2128
LAS VEGAS, NV
89106-1560

Practice Phone: 702-986-1974
Practice Fax:

1043704471 — LOVE IS PATIENCE HEALTH & WELLNESS
Practice Location Address:

1915 SIMMONS ST APT 2130
LAS VEGAS, NV
89106-1560

Practice Phone: 213-422-1650
Practice Fax:

1851977375 — TERESA SHULTZ
Practice Location Address:

1556 BENT ARROW DR
NORTH LAS VEGAS, NV
89031-1560

Practice Phone: 702-534-8608
Practice Fax:

1780331686 — AURORA PEDIATRIC THERAPY LLC
Practice Location Address:

7450 S EASTERN AVE UNIT 1121
LAS VEGAS, NV
89123-1560

Practice Phone: 907-268-7533
Practice Fax:

1093505711 — IVAN LLOYD BOAYES LAROGA
Practice Location Address:

1560 DARK WOLF AVE
LAS VEGAS, NV
89123-4859

Practice Phone: 702-720-0020
Practice Fax:

Directions to “LIFESTYLE REMEDIES WELLNESS CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.