HEALTHY LIFELINE LLC NPI 1629871744

NPI Information

  • NPI: 1629871744
  • Provider Name: HEALTHY LIFELINE LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 3557 WINTER WREN ST
    LAS VEGAS, NV
    ZIP 89122
  • Phone: (702) 782-7828

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NPI Details

HEALTHY LIFELINE LLC is a primary care nurse practitioner in Las Vegas, NV. HEALTHY LIFELINE LLC NPI is 1629871744. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3557 WINTER WREN ST
LAS VEGAS, NV
ZIP 89122-539
Phone: (702) 782-7828

The provider's authorized official is John Marius Tolentino .
The authorized official title is Managing Member and has the following contact phone number (702) 445-4092.

The enumeration date for this NPI number is 4/1/2025 and was last updated on 4/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RA0201XInternal MedicineAllergy & ImmunologyNo
3207RC0200XInternal MedicineCritical Care MedicineNo
4207RI0200XInternal MedicineInfectious DiseaseNo
5261QP2300XClinic/CenterPrimary CareNo
6363L00000XNurse PractitionerNo
7363LF0000XNurse PractitionerFamilyNo
8363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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