Provider Demographics
NPI:1184385684
Name:CARDIACARE REHAB AND WELLNESS LLC
Entity type:Organization
Organization Name:CARDIACARE REHAB AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SARICH
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:702-204-4947
Mailing Address - Street 1:9836 JAMIES JEWEL WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1219
Mailing Address - Country:US
Mailing Address - Phone:702-204-4947
Mailing Address - Fax:
Practice Address - Street 1:2435 FIRE MESA ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9009
Practice Address - Country:US
Practice Address - Phone:702-204-4947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty