MEDICARE: RHIANNON NICOLE FOREMAN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	372500000X	Chore Provider
3	372600000X	Adult Companion
4	3747P1801X	Personal Care Attendant
5	172A00000X	Driver
6	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1629434147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHIANNON NICOLE FOREMAN

Provider Business Mailing Address
First Line	:	1021 NEVA RANCH AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4418
Country	:	US
Telephone Number	:	702-812-1952
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 NEVA RANCH AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-4418
Country	:	US
Telephone Number	:	702-812-1952
Fax Number	:

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

Provider Enumeration Date	:	01/13/2016
Last Update Date	:	04/16/2016

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Directions to “ RHIANNON NICOLE FOREMAN ” Practice Location

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