MEDICARE: CLARENCHELL TATE

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1104577980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARENCHELL TATE

Provider Business Mailing Address
First Line	:	2500 KAREN AVE APT 22
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-1167
Country	:	US
Telephone Number	:	702-639-7928
Fax Number	:

Provider Business Practice Location Address
First Line	:	1771 E FLAMINGO RD STE 220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5155
Country	:	US
Telephone Number	:	702-560-2192
Fax Number	:

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

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	01/13/2022

Similar Medicare Providers

1801989223 — JANICE E. EGGERT M.D.
Practice Location Address:

1771 E FLAMINGO RD , SUITE 214A
LAS VEGAS, NV
89119-5155

Practice Phone: 702-737-5252
Practice Fax: 702-737-5960

1689755738 — ELIZABETH M. JAMES, INC.
Practice Location Address:

1771 E FLAMINGO RD , SUITE 112-B
LAS VEGAS, NV
89119-5155

Practice Phone: 702-641-2422
Practice Fax: 702-893-9655

1588725980 — MRS. MICHELLE MICHEL-ELVIN MFT
Practice Location Address:

1771 E FLAMINGO RD , SUITE 112B
LAS VEGAS, NV
89119-5155

Practice Phone: 702-641-2422
Practice Fax: 702-893-9655

1063720159 — MISS NORMA BACH M.A.
Practice Location Address:

1771 E FLAMINGO RD # B12
LAS VEGAS, NV
89119-5155

Practice Phone: 702-629-9326
Practice Fax:

1497043327 — COMMUNITY BENEFITS CONSORTIUM, INC.
Practice Location Address:

1771 E FLAMINGO RD , SUITE B118
LAS VEGAS, NV
89119-5155

Practice Phone: 702-413-7791
Practice Fax: 702-413-7792

1124440029 — MRS. DESTINY MOSLEY
Practice Location Address:

1771 E FLAMINGO RD
LAS VEGAS, NV
89119-5155

Practice Phone: 702-331-0321
Practice Fax:

1033578562 — BEHAVIORAL HEALTH SERVICES OF SOUTHERN NEVADA LLC
Practice Location Address:

1771 E FLAMINGO RD , SUITE #112B
LAS VEGAS, NV
89119-5155

Practice Phone: 702-732-4357
Practice Fax: 702-732-4358

Directions to “ CLARENCHELL TATE ” 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 © 2007-2025 (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.