Provider Demographics
NPI:1669810206
Name:NEM-CARE LLC
Entity type:Organization
Organization Name:NEM-CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:PATVAKANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-473-9600
Mailing Address - Street 1:4090 W CRAIG RD STE 102
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-2758
Mailing Address - Country:US
Mailing Address - Phone:702-329-1710
Mailing Address - Fax:702-613-5000
Practice Address - Street 1:939 S DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3918
Practice Address - Country:US
Practice Address - Phone:702-255-1114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEM-CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-05
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty