| Hill Care Llc | |
|
3620 N Rancho Dr Ste 103&104 Las Vegas NV 89130-3155 | |
| (725) 712-4625 | |
| (725) 262-5536 |
| Full Name | Hill Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3620 N Rancho Dr Ste 103&104, Las Vegas, Nevada |
| Authorized Official Name and Position | Ebony Shandreka Peterson (MANAGING MEMBER/ NURSE PRACTITIONER) |
| Authorized Official Contact | 7023502032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hill Care Llc 3620 N Rancho Dr Ste 103&104 Las Vegas NV 89130-3155 Ph: (725) 712-4625 | Hill Care Llc 3620 N Rancho Dr Ste 103&104 Las Vegas NV 89130-3155 Ph: (725) 712-4625 |
| NPI Number | 1871291872 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 01/27/2025 |
| Certification Date | 01/27/2025 |
| Medicare PECOS PAC ID | 6507306198 |
|---|---|
| Medicare Enrollment ID | O20240910002829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871291872 | NPI | - | NPPES |
| Provider Name | Ebony Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396293841 PECOS PAC ID: 9133417645 Enrollment ID: I20200319002443 |
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