Organization Active NPI

Realcare Wellness LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1134097058
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
REALCARE WELLNESS LLC
Practice address
732 S 6TH St # 8014
Las Vegas, NV 89101-6948
Phone
(725) 772-1939
Fax
(702) 442-4665
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Maxilom Polintan, APRN, FNP-C
Title
Nurse Practitioner/Owner
Phone
(725) 772-1939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

732 S 6TH St # 8014
Las Vegas, NV 89101-6948

Mailing address

732 S 6TH St # 8014
Las Vegas, NV 89101-6948
Phone (725) 772-1939

National Provider Directory

National Provider Directory

Locations

732 S 6th St
#8014
Las Vegas, NV 89101
Phone (725) 772-1939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1134097058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 S 6TH ST # 8014",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016948",
            "telephone_number": "725-772-1939",
            "fax_number": "702-442-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 S 6TH ST # 8014",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016948",
            "telephone_number": "725-772-1939",
            "fax_number": "702-442-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALCARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "POLINTAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MAXILOM",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "725-772-1939",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.