Provider Demographics
NPI:1457849077
Name:HEALTHCARE PLUS LLC
Entity Type:Organization
Organization Name:HEALTHCARE PLUS LLC
Other - Org Name:HEALTH HUB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:COSMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:EZE
Authorized Official - Suffix:
Authorized Official - Credentials:THERAPIST
Authorized Official - Phone:702-448-3332
Mailing Address - Street 1:4718 E FLAMINGO RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4709
Mailing Address - Country:US
Mailing Address - Phone:702-902-5400
Mailing Address - Fax:702-902-5401
Practice Address - Street 1:4723 E FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-4742
Practice Address - Country:US
Practice Address - Phone:702-448-3332
Practice Address - Fax:702-902-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-30
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1598161408Medicaid