Provider Demographics
NPI:1346528957
Name:TOTAL CARE AND CONSULTING LLC
Entity Type:Organization
Organization Name:TOTAL CARE AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODIS
Authorized Official - Middle Name:
Authorized Official - Last Name:THROWER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:702-336-6126
Mailing Address - Street 1:1408 GENTLE BROOK ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2029
Mailing Address - Country:US
Mailing Address - Phone:702-336-6126
Mailing Address - Fax:928-832-6125
Practice Address - Street 1:1408 GENTLE BROOK ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-2029
Practice Address - Country:US
Practice Address - Phone:702-336-6126
Practice Address - Fax:928-832-6125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-31
Last Update Date:2011-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20111487272251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health