MEDICARE: RELIEF HEALTHCARE OF NEVADA

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	261QM1300X	Multi-Specialty Clinic/Center
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1942870365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIEF HEALTHCARE OF NEVADA

Provider Business Mailing Address
First Line	:	1600 E DESERT INN RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-2505
Country	:	US
Telephone Number	:	725-300-5772
Fax Number	:	702-208-2208

Provider Business Practice Location Address
First Line	:	1600 E DESERT INN RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-2505
Country	:	US
Telephone Number	:	725-300-5772
Fax Number	:	702-208-2208

Authorized Official
Title or Position	:	OWNER
Name	:	MAIMOUNA ROSE CANTRALL
Credential	:
Telephone Number	:	702-589-0701

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	05/06/2026

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