Adult Health and Wellness Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADULT HEALTH AND WELLNESS CENTER LLC

Practice address

2881 Business Park CT Ste 100
Las Vegas, NV 89128-9019

Phone

(702) 510-4508

Fax

(702) 724-0522

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Humberto Rodriguez

Title

Coo

Phone

(702) 510-4508

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 5

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

• Cheyanne Rene Fletcher, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1003575846

  Single Specialty

  Medicare reassignment NPD
• Cheryl Baker Broussard, APN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1649581083
  NPD (past)
• Carmen Luraschi, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Henderson, NV
  • NPI 1609071869

  Pulmonary Disease

  NPD (past)
• Naresh P Singh, MD

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1790721116
  NPD (past)
• Kevin Anthony Tsui, D.O.

  • Pulmonary Disease Physician
  • Henderson, NV
  • NPI 1710133400
  NPD (past)

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1164095899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 BUSINESS PARK CT STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289019",
            "telephone_number": "702-510-4508",
            "fax_number": "702-724-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 BUSINESS PARK CT STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289019",
            "telephone_number": "702-510-4508",
            "fax_number": "702-724-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "702-510-4508"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.