Provider Demographics
NPI:1598468175
Name:HEALTHCARE PLUS WELLNESS AND BEHAVIORAL CENTER LLC
Entity Type:Organization
Organization Name:HEALTHCARE PLUS WELLNESS AND BEHAVIORAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-605-5570
Mailing Address - Street 1:1771 E FLAMINGO RD STE 202A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5157
Mailing Address - Country:US
Mailing Address - Phone:702-337-0321
Mailing Address - Fax:702-991-7258
Practice Address - Street 1:1771 E FLAMINGO RD STE 202A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5157
Practice Address - Country:US
Practice Address - Phone:702-337-0321
Practice Address - Fax:702-991-7258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty