| Rooted Solutions Llc | |
|
8565 S Eastern Ave Ste 180 Las Vegas NV 89123-2907 | |
| (702) 209-5569 | |
| Not Available |
| Full Name | Rooted Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8565 S Eastern Ave Ste 180, Las Vegas, Nevada |
| Authorized Official Name and Position | Uchechi Harris (OWNER) |
| Authorized Official Contact | 7022048895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Solutions Llc 8565 S Eastern Ave Ste 180 Las Vegas NV 89123-2907 Ph: (702) 209-5569 | Rooted Solutions Llc 8565 S Eastern Ave Ste 180 Las Vegas NV 89123-2907 Ph: (702) 209-5569 |
| NPI Number | 1568105484 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Medicare PECOS PAC ID | 9032564810 |
|---|---|
| Medicare Enrollment ID | O20231013002426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568105484 | NPI | - | NPPES |
| 1245652551 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Deja Fuimaono |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497028682 PECOS PAC ID: 4385079748 Enrollment ID: I20200114001333 |
| Provider Name | Uchechi Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245652551 PECOS PAC ID: 1759736531 Enrollment ID: I20240212003226 |
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