Provider Demographics
NPI:1538946488
Name:CRITIQUE HOME HEALTH WELLNESS
Entity type:Organization
Organization Name:CRITIQUE HOME HEALTH WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHADAE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEWARD
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:702-659-0418
Mailing Address - Street 1:11550 S EASTERN AVE
Mailing Address - Street 2:150
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052
Mailing Address - Country:US
Mailing Address - Phone:725-720-4550
Mailing Address - Fax:
Practice Address - Street 1:410 S RAMPART BLVD STE 390
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5749
Practice Address - Country:US
Practice Address - Phone:725-720-4550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty