MEDICARE: ELSIE GONZALES KAECKER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	372500000X	Chore Provider	NV
2	372600000X	Adult Companion	NV
3	3747A0650X	Attendant Care Provider	NV
4	376J00000X	Homemaker	NV
5	3747P1801X	Personal Care Attendant	NV

General Provider Information

NPI Number	:	1508366097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELSIE GONZALES KAECKER

Provider Business Mailing Address
First Line	:	4050 PALOS VERDES ST APT 14
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 S JONES BLVD STE F
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3165
Country	:	US
Telephone Number	:	702-202-3452
Fax Number	:	702-982-8727

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

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	02/20/2018

Similar Medicare Providers

1134082704 — YANLING ZHANG
Practice Location Address:

2001 S JONES BLVD STE E3
LAS VEGAS, NV
89146-3165

Practice Phone: 702-425-3377
Practice Fax:

1992668578 — CHRIS MILLS
Practice Location Address:

2001 S JONES BLVD STE A
LAS VEGAS, NV
89146-3165

Practice Phone: 702-816-4639
Practice Fax:

1679437933 — EMALEIGH ROMAN
Practice Location Address:

2001 S JONES BLVD STE J
LAS VEGAS, NV
89146-3165

Practice Phone: 702-562-2273
Practice Fax: 702-227-8351

1104780212 — SANAA MUKHTAR
Practice Location Address:

2001 S JONES BLVD STE H
LAS VEGAS, NV
89146-3165

Practice Phone: 702-367-0111
Practice Fax: 702-367-0140

1952264459 — TRAKEISHA EBONY ANDERSON
Practice Location Address:

2001 S JONES BLVD STE A
LAS VEGAS, NV
89146-3165

Practice Phone: 702-816-4639
Practice Fax:

1528921731 — XIUZHEN LI
Practice Location Address:

2001 S JONES BLVD STE H
LAS VEGAS, NV
89146-3165

Practice Phone: 702-367-0111
Practice Fax: 702-367-0140

1538467253 — MRS. LAUREN ANGELA SCHLOSS MRC, LADC, CPC-INTER
Practice Location Address:

2001 S JONES BLVD STE J
LAS VEGAS, NV
89146-3165

Practice Phone: 702-523-0901
Practice Fax:

Directions to “ ELSIE GONZALES KAECKER ” 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.