Provider Demographics
NPI:1588603492
Name:CAREMAX HEALTH GROUP, LLC
Entity Type:Organization
Organization Name:CAREMAX HEALTH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CONSTANTE JOHN
Authorized Official - Middle Name:VENTURA
Authorized Official - Last Name:FARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-569-3734
Mailing Address - Street 1:3550 E POST RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3220
Mailing Address - Country:US
Mailing Address - Phone:702-569-3734
Mailing Address - Fax:702-586-6875
Practice Address - Street 1:3550 E POST RD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3220
Practice Address - Country:US
Practice Address - Phone:702-569-3734
Practice Address - Fax:702-586-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV397953536332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies