Provider Demographics
NPI:1750006458
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:
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:PATVAKANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-255-1114
Mailing Address - Street 1:1725 S RAINBOW BLVD STE 17
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-2970
Mailing Address - Country:US
Mailing Address - Phone:702-473-9600
Mailing Address - Fax:702-473-9966
Practice Address - Street 1:1725 S RAINBOW BLVD STE 17
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-2970
Practice Address - Country:US
Practice Address - Phone:702-473-9600
Practice Address - Fax:702-473-9966
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEM-CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty