| Compassionate Heart Services Llc | |
|
7375 Prairie Falcon Rd Ste 160 Las Vegas NV 89128-0818 | |
| (725) 205-2227 | |
| (702) 476-1926 |
| Full Name | Compassionate Heart Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7375 Prairie Falcon Rd Ste 160, Las Vegas, Nevada |
| Authorized Official Name and Position | Tania R Guzman (OWNER) |
| Authorized Official Contact | 7252052227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Heart Services Llc 7375 Prairie Falcon Rd Ste 160 Las Vegas NV 89128-0818 Ph: (725) 205-2227 | Compassionate Heart Services Llc 7375 Prairie Falcon Rd Ste 160 Las Vegas NV 89128-0818 Ph: (725) 205-2227 |
| NPI Number | 1467112169 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 7113301920 |
|---|---|
| Medicare Enrollment ID | O20240401002602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467112169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca S Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801331202 PECOS PAC ID: 7618374893 Enrollment ID: I20230720001580 |
| Provider Name | Lyn Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013363480 PECOS PAC ID: 6406294776 Enrollment ID: I20240404004367 |
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