Provider Demographics
NPI:1346099942
Name:CHILDREN'S HEART FOUNDATION NEVADA
Entity type:Organization
Organization Name:CHILDREN'S HEART FOUNDATION NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SERVICES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KASSIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BINDUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-967-3522
Mailing Address - Street 1:3131 LA CANADA ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-2587
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3131 LA CANADA ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-2578
Practice Address - Country:US
Practice Address - Phone:702-967-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable