MEDICARE: QUINCELLA RIVERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1033467170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUINCELLA RIVERS

Provider Business Mailing Address
First Line	:	6330 MCLEOD DR
Second Line	:	STE. 4&5
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-4430
Country	:	US
Telephone Number	:	702-437-0341
Fax Number	:

Provider Business Practice Location Address
First Line	:	6330 MCLEOD DR
Second Line	:	STE. 4&5
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-4430
Country	:	US
Telephone Number	:	702-437-0341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	08/21/2012

Similar Medicare Providers

1285990879 — JANE MASTRINI L.C.S.W.
Practice Location Address:

6330 MCLEOD DR , STE. 4 & 5
LAS VEGAS, NV
89120-4430

Practice Phone: 702-260-9957
Practice Fax:

1003173196 — THE VILLAGE BEHAVIOR HEALTH SERVICES, LLC
Practice Location Address:

6330 MCLEOD DR , SUITE 4&5
LAS VEGAS, NV
89120-4430

Practice Phone: 702-437-0341
Practice Fax:

1104181122 — MR. SEAN LEAVLLE BRANCH
Practice Location Address:

6330 MCLEOD DR STE 4&5
LAS VEGAS, NV
89120-4430

Practice Phone: 702-437-0341
Practice Fax:

1245586437 — MS. TRNEE DAPHENE STEPHENSON
Practice Location Address:

6330 MCLEOD DR STE 4&5
LAS VEGAS, NV
89120-4430

Practice Phone: 702-437-0341
Practice Fax:

1083962153 — ANNETTA BONNER
Practice Location Address:

6330 MCLEOD DR , STE. 4 & 5
LAS VEGAS, NV
89120-4430

Practice Phone: 702-437-0341
Practice Fax:

1841682192 — JENNIFER HALEY
Practice Location Address:

6330 MCLEOD DR , STE. 3
LAS VEGAS, NV
89120-4430

Practice Phone: 702-754-3484
Practice Fax:

Directions to “ QUINCELLA RIVERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.