Provider Demographics
NPI:1023716305
Name:PROJECT OF HEALTH LLC
Entity type:Organization
Organization Name:PROJECT OF HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BIJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOFRONIJOSKA RECE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN,LD,IFMCP
Authorized Official - Phone:702-635-4669
Mailing Address - Street 1:1771 E FLAMINGO RD STE 103B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5158
Mailing Address - Country:US
Mailing Address - Phone:702-635-4669
Mailing Address - Fax:833-376-4276
Practice Address - Street 1:9130 W RUSSELL RD STE 210
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1358
Practice Address - Country:US
Practice Address - Phone:702-635-4669
Practice Address - Fax:855-221-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, GerontologicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1229895OtherCAQH ID
NV2500166249Medicaid