Organization
CARESOURCE NEVADA CO.
Active
Parent organization
CARESOURCE
Other names
CareSource
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARESOURCE
Authorized official
JAYME M PUU (PRESIDENT)
(937) 974-3518
Entity
Organization
Contact information
Practice address
6385 S RAINBOW BLVD STE 500, LAS VEGAS, NV 89118-3201
(725) 332-8900
Mailing address
230 N MAIN ST, DAYTON, OH 45402-1263
(937) 224-3000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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