Provider Demographics
NPI:1538318472
Name:REM NEVADA
Entity Type:Organization
Organization Name:REM NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A/R SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-889-9240
Mailing Address - Street 1:5693 S JONES BLVD STE 118
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1967
Mailing Address - Country:US
Mailing Address - Phone:702-889-9240
Mailing Address - Fax:702-889-6945
Practice Address - Street 1:5693 S JONES BLVD STE 118
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1967
Practice Address - Country:US
Practice Address - Phone:702-889-9240
Practice Address - Fax:702-889-6945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty