MEDICARE: ANGELA MARIE PENCE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	385H00000X	Respite Care
4	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1134989767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE PENCE

Provider Business Mailing Address
First Line	:	2334 SABROSO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-6175
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2334 SABROSO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-6175
Country	:	US
Telephone Number	:	702-733-6300
Fax Number	:

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

Provider Enumeration Date	:	03/20/2024
Last Update Date	:	03/20/2024

Similar Medicare Providers

1760197461 — RACHEL BURKES
Practice Location Address:

2376 SABROSO ST
LAS VEGAS, NV
89156-6175

Practice Phone: 702-936-2776
Practice Fax:

1578750105 — KATE T. NGUYEN, DDS, MS, PROF. CORP.
Practice Location Address:

6175 SUNDOWN CREST ST
LAS VEGAS, NV
89113-6602

Practice Phone: 702-882-5614
Practice Fax:

1972921674 — GEOVANNI J CAMACHO-GALVAN R.T (R)
Practice Location Address:

6175 E OWENS AVE
LAS VEGAS, NV
89110-1859

Practice Phone: 702-306-0325
Practice Fax:

1215419064 — ETHOS BEHAVIORAL HEALTH
Practice Location Address:

32047 VEGAS DR
WARREN, MI
48093-6175

Practice Phone: 833-384-6724
Practice Fax:

1104718170 — ETHOS BEHAVIORAL HEALTH
Practice Location Address:

32047 VEGAS DR
WARREN, MI
48093-6175

Practice Phone: 248-690-3422
Practice Fax:

1275024812 — DAYANA LANCEL
Practice Location Address:

2722 WILD CACTUS CT
LAS VEGAS, NV
89156-7577

Practice Phone: 786-389-0387
Practice Fax:

Directions to “ ANGELA MARIE PENCE ” 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.