Individual ProviderMichael FlemingsCommunity/Behavioral HealthAgenciesPractice Address2725 S Jones Blvd Ste 109, Las Vegas, NV 89146-5605(702) 758-2992PECOS EnrollmentBased on the most recent information from CMS, provider Michael Flemings does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 38 days ago.Profile DetailsProvider ID1104344936Provider TypeIndividualFull NameFlemings, MichaelGenderMaleSole ProprietorYesEnumeration Date8/31/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address2725 S Jones Blvd Ste 109, Las Vegas, NV 89146-5605Phone(702) 758-2992Fax(702) 829-2876Mailing LocationMailing Address2725 S Jones Blvd Ste 109, Las Vegas, NV 89146-5605Phone(702) 758-2992Fax(702) 829-2876Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID81-4890153DescriptionMedicaidIssuerUnlistedNevada