Provider Demographics
NPI:1225677487
Name:GLIMMER OF HOPE HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:GLIMMER OF HOPE HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-827-4524
Mailing Address - Street 1:2375 E TROPICANA AVE # 144
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6564
Mailing Address - Country:US
Mailing Address - Phone:702-827-4524
Mailing Address - Fax:
Practice Address - Street 1:2375 E TROPICANA AVE # 144
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6564
Practice Address - Country:US
Practice Address - Phone:702-827-4524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-05
Last Update Date:2020-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV20191661640OtherSTATE BUSINESS LICENSE