LIFECARE INFUSION INC (NPI# 1265074868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265074868 |
| Entity Type | Organization |
| Organization Name | LIFECARE INFUSION INC |
| Practice Address |
6415 S Fort Apache Rd Ste 175 Las Vegas NV 89148-6746 |
| Mailing Address |
3050 E Desert Inn Rd Ste 124 Las Vegas NV 89121-3873 |
| Practice Telephone | 7023036790 |
| Practice Fax Number | 7026972105 |
| Mailing Telephone | 7023036790 |
| Mailing Fax Number | 7026972105 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | CLETUS AMADI (PRESIDENT/CEO/OWNER) |
| Authorized Official Telephone | 7023036790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Street Address |
6415 S FORT APACHE RD STE 175 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-6746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
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| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1801452982 | Pharmascript Inc | Clinic/Center | 6170 N Durango Dr # 250, Las Vegas, NV 89149-3926 | 2019-05-14 |
| 1205102936 | Push Reset LLC | Clinic/Center | 4315 Dean Martin Dr Ste 230, Las Vegas, NV 89103-4124 | 2012-03-27 |
| 1346514502 | Lsdccn of Nevada LLC | Clinic/Center | 9324 Sienna Ridge Dr, Las Vegas, NV 89117-7013 | 2012-03-05 |
| 1073749552 | Coram Healthcare Corporation of Nevada | Clinic/Center | 101 N Pecos Rd Ste 106, Las Vegas, NV 89101-4800 | 2009-06-10 |
| 1417340902 | Apt Lv LLC | Clinic/Center | 1661 E Flamingo Rd, Suite 6, Las Vegas, NV 89119-5291 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881639755 | Coram Healthcare Corporation of Nv | Clinic/Center | 1951 Ramrod Ave, Ste 110, Henderson, NV 89014-2400 | 2006-06-17 |
| 1386148195 | Lgcm LLC | Clinic/Center | 70 E Horizon Ridge Pkwy Ste 140, Henderson, NV 89002-7936 | 2018-03-19 |
| 1962913590 | John A Shields, Md Steven A Schiff, Md A Professional Corporation | Clinic/Center | 5423 Reno Corporate Dr., Reno, NV 89511-2250 | 2017-10-23 |
| 1285171249 | Sierra Infectious Disease | Clinic/Center | 75 Pringle Way, Suite 705, Reno, NV 89502-1464 | 2017-01-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.