MEDICARE: RUAHH HEALTHCARE SOLUTIONS 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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1942150297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUAHH HEALTHCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	6413 DINNING AVE STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1204
Country	:	US
Telephone Number	:	725-262-5077
Fax Number	:

Provider Business Practice Location Address
First Line	:	6413 DINNING AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1204
Country	:	US
Telephone Number	:	725-262-5077
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALONZO RUTHERFORD
Credential	:
Telephone Number	:	702-262-5077

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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