Provider Demographics
NPI:1083163182
Name:EXCEEDING HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:EXCEEDING HEALTHCARE SERVICES
Other - Org Name:EXCEEDING HEALTHCARE SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:UGOCHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:702-778-7782
Mailing Address - Street 1:626 N RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1101
Mailing Address - Country:US
Mailing Address - Phone:702-778-7782
Mailing Address - Fax:702-333-4436
Practice Address - Street 1:626 N RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1101
Practice Address - Country:US
Practice Address - Phone:702-778-7782
Practice Address - Fax:702-333-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV001660363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty