Provider Demographics
NPI:1235608555
Name:STEVENS HEALTHCARE LLC
Entity Type:Organization
Organization Name:STEVENS HEALTHCARE LLC
Other - Org Name:STEVENS HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C, OTRL
Authorized Official - Phone:702-578-6271
Mailing Address - Street 1:1620 STIRRUP DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-8824
Mailing Address - Country:US
Mailing Address - Phone:702-578-6271
Mailing Address - Fax:
Practice Address - Street 1:1620 STIRRUP DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-8824
Practice Address - Country:US
Practice Address - Phone:702-578-6271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty