MEDICARE: FOUNDATION FOR POSITIVELY KIDS

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	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386705580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATION FOR POSITIVELY KIDS

Provider Business Mailing Address
First Line	:	4375 LAS VEGAS BLVD N STE 10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-0587
Country	:	US
Telephone Number	:	702-262-0037
Fax Number	:	702-272-2421

Provider Business Practice Location Address
First Line	:	4375 LAS VEGAS BLVD N STE 10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-0587
Country	:	US
Telephone Number	:	702-262-0037
Fax Number	:	702-272-2421

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	MRS. JEANETTE SMITH
Credential	:
Telephone Number	:	702-262-0037

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	04/16/2025

Similar Medicare Providers

1447745757 — BEAUTIFUL REFLECTIONS HOME CARE
Practice Location Address:

4375 LAS VEGAS BLVD N
LAS VEGAS, NV
89115-0587

Practice Phone: 702-417-4702
Practice Fax:

1518512318 — PRIMARY CARE HEALTH INC.
Practice Location Address:

4375 LAS VEGAS BLVD N STE 9
LAS VEGAS, NV
89115-0587

Practice Phone: 702-450-1717
Practice Fax: 702-522-1606

1912579103 — AXIS HEALTHCARE CLINICS
Practice Location Address:

4375 LAS VEGAS BLVD N STE 9
LAS VEGAS, NV
89115-0587

Practice Phone: 702-410-5510
Practice Fax:

1972250751 — ERMA DABBS
Practice Location Address:

4375 LAS VEGAS BLVD N STE 7-1552
LAS VEGAS, NV
89115-0587

Practice Phone: 702-340-2815
Practice Fax:

1871204453 — MR. LATRON P HICKS
Practice Location Address:

4375 LAS VEGAS BLVD N
LAS VEGAS, NV
89115-0587

Practice Phone: 702-601-4647
Practice Fax:

1215728233 — ROSENDO FIGUEROA
Practice Location Address:

4375 LAS VEGAS BLVD N STE 7
LAS VEGAS, NV
89115-0587

Practice Phone: 702-800-9969
Practice Fax:

Directions to “FOUNDATION FOR POSITIVELY KIDS ” 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.