Provider Demographics
NPI:1952706913
Name:JTR HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:JTR HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:ABETO
Authorized Official - Last Name:SEDANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:BS MANAGEMENT
Authorized Official - Phone:702-628-8423
Mailing Address - Street 1:2320 PASEO DEL PRADO
Mailing Address - Street 2:SUITE B307
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4358
Mailing Address - Country:US
Mailing Address - Phone:702-628-8423
Mailing Address - Fax:702-834-4848
Practice Address - Street 1:2320 PASEO DEL PRADO
Practice Address - Street 2:SUITE B307
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0048
Practice Address - Country:US
Practice Address - Phone:702-628-8423
Practice Address - Fax:702-834-4848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20131251195251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health