Provider Demographics
NPI:1457057523
Name:3R HOLDINGS LLC
Entity type:Organization
Organization Name:3R HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANSHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:INDIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-829-6234
Mailing Address - Street 1:7040 LAREDO ST STE J
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3044
Mailing Address - Country:US
Mailing Address - Phone:702-829-6234
Mailing Address - Fax:
Practice Address - Street 1:7040 LAREDO ST STE J&K
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3000
Practice Address - Country:US
Practice Address - Phone:702-829-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3R HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-01
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health