MEDICARE: RONNIE HENDERSON

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	:	1134868003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONNIE HENDERSON

Provider Business Mailing Address
First Line	:	1814 MACCHIA AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1814 MACCHIA AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2405
Country	:	US
Telephone Number	:	816-381-0267
Fax Number	:

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

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	05/31/2022

Similar Medicare Providers

1013770056 — MO PRO SERVICES LLC
Practice Location Address:

2405 PADDOCK LN
LAS VEGAS, NV
89156-4976

Practice Phone: 702-559-7528
Practice Fax:

1881611887 — JACK E ABRAMS M D PROFESSIONAL CORPORATION
Practice Location Address:

6450 MEDICAL CENTER ST , #100
LAS VEGAS, NV
89148-2405

Practice Phone: 702-304-9494
Practice Fax: 702-304-9495

1215161906 — KUSUM DIPAK DESAI MD CHARTERED
Practice Location Address:

6450 MEDICAL CENTER ST , STE 4
LAS VEGAS, NV
89148-2405

Practice Phone: 702-739-9518
Practice Fax:

1558608513 — DEBORAH M PITTS
Practice Location Address:

3449 CANTER DR
NORTH LAS VEGAS, NV
89032-2405

Practice Phone: 702-778-0840
Practice Fax:

1003366097 — LIMITLESS BEHAVIORAL HEALTH LLC
Practice Location Address:

2405 PARASAIL POINT AVE
NORTH LAS VEGAS, NV
89031-0968

Practice Phone: 702-612-2208
Practice Fax:

1871008128 — KHOREN BARSEGHYAN
Practice Location Address:

3075 GREENBRIAR DR
LAS VEGAS, NV
89121-2405

Practice Phone: 702-561-7407
Practice Fax:

Directions to “ RONNIE HENDERSON ” 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.