Organization Active NPI

Reliance Health and Wellness Solutions LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1730712829
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RELIANCE HEALTH AND WELLNESS SOLUTIONS LLC
Practice address
2975 S Rainbow Blvd Ste H
Las Vegas, NV 89146-6598
Phone
(024) 852-8007
Fax
(702) 920-8397
NPI assigned
Feb 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Jenerie Navarrete-Pak, DNPNPI 1811238579
Title
Member
Phone
(702) 427-4972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2975 S Rainbow Blvd Ste H
Las Vegas, NV 89146-6598

Mailing address

2975 S Rainbow Blvd Ste H
Las Vegas, NV 89146-6598
Phone (702) 485-2800

Other practice location 1

2975 S Rainbow Blvd Ste H
Las Vegas, NV 89146-6598
Phone (702) 485-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200512002398 NV Part B Supplier - Clinic/Group Practice 3779914510 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2688 S Rainbow Blvd
Ste D
Las Vegas, NV 89146

Practitioners & affiliated clinicians

Practitioners 3

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": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1730712829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 S RAINBOW BLVD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466598",
            "telephone_number": "702-485-2800",
            "fax_number": "702-920-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 S RAINBOW BLVD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466598",
            "telephone_number": "024-852-8007",
            "fax_number": "702-920-8397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 S Rainbow Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891466598",
            "country_code": "US",
            "telephone_number": "702-485-2800",
            "fax_number": "702-920-8397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANCE HEALTH AND WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE-PAK",
        "authorized_official_first_name": "JENERIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-427-4972",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Jul 10, 2023; 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.