1053692459 NPI number — REMEDY SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053692459 NPI number — REMEDY SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REMEDY SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053692459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/30/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4141 GLENFIELD CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89129-6549
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-526-3455
Provider Business Mailing Address Fax Number:
702-723-2712

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 N RAINBOW BLVD
Provider Second Line Business Practice Location Address:
170
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89107-1189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-526-3455
Provider Business Practice Location Address Fax Number:
702-723-2712
Provider Enumeration Date:
08/30/2011

Additional Information

Authorized Official

Authorized Official Last Name:
JACOBSON
Authorized Official First Name:
LOUISE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
702-526-3455

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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