| A Caring Heart Behavioral Services Llc | |
|
1701 Cameron St Las Vegas NV 89102-3545 | |
| (702) 301-8862 | |
| Not Available |
| Full Name | A Caring Heart Behavioral Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1701 Cameron St, Las Vegas, Nevada |
| Authorized Official Name and Position | Janyvill Ruiz (CEO/OWNER) |
| Authorized Official Contact | 7023018862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Caring Heart Behavioral Services Llc 1500 E Tropicana Ave Ste 112 Las Vegas NV 89119-6515 Ph: (702) 301-8862 | A Caring Heart Behavioral Services Llc 1701 Cameron St Las Vegas NV 89102-3545 Ph: (702) 301-8862 |
| NPI Number | 1760016059 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Medicare PECOS PAC ID | 4789054982 |
|---|---|
| Medicare Enrollment ID | O20230104002858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760016059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Faith Marie Nepomuceno Unite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720505381 PECOS PAC ID: 4688735640 Enrollment ID: I20171127003353 |
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