Provider Demographics
NPI:1740641372
Name:BRINGING ABOUT INDEPENDENCE LLC
Entity type:Organization
Organization Name:BRINGING ABOUT INDEPENDENCE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOYACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-325-5928
Mailing Address - Street 1:PO BOX 82045
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89180-2045
Mailing Address - Country:US
Mailing Address - Phone:702-325-5928
Mailing Address - Fax:702-876-9110
Practice Address - Street 1:3130 S DURANGO DR STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-4456
Practice Address - Country:US
Practice Address - Phone:702-325-5928
Practice Address - Fax:702-876-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care