MEDICARE: KINTSUGI CARE LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1639001167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINTSUGI CARE LLC

Provider Business Mailing Address
First Line	:	2820 ARAGON TERRACE WAY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1686
Country	:	US
Telephone Number	:	775-269-2626
Fax Number	:

Provider Business Practice Location Address
First Line	:	10120 S EASTERN AVE STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3953
Country	:	US
Telephone Number	:	775-269-2626
Fax Number	:	702-940-4063

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA PALAKANIS
Credential	:	APRN
Telephone Number	:	775-269-2626

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

Similar Medicare Providers

1841466810 — DR. KERRY COLLEEN PALAKANIS APRN
Practice Location Address:

10120 S EASTERN AVE STE 130
HENDERSON, NV
89052-3953

Practice Phone: 385-707-7175
Practice Fax:

1760375430 — NUMA TMS LLC
Practice Location Address:

10120 S EASTERN AVE STE 130
HENDERSON, NV
89052-3953

Practice Phone: 702-760-1975
Practice Fax: 808-480-7589

1154298362 — ANGELA PALAKANIS APRN
Practice Location Address:

10120 S EASTERN AVE STE 130
HENDERSON, NV
89052-3953

Practice Phone: 702-867-1630
Practice Fax: 702-940-4063

1023945714 — CABRERAHEIRING PLLC
Practice Location Address:

10120 S EASTERN AVE STE 130
HENDERSON, NV
89052-3953

Practice Phone: 702-518-3471
Practice Fax:

1366658965 — DR. SCOTT NEIL JACOBSON MD
Practice Location Address:

10120 S EASTERN AVE STE 130
HENDERSON, NV
89052

Practice Phone: 702-970-1111
Practice Fax: 702-688-4373

1447576806 — MATTHEW LOUIS ELTGROTH MD
Practice Location Address:

2980 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
89052-4661

Practice Phone: 702-707-1500
Practice Fax: 725-291-4848

Directions to “KINTSUGI CARE LLC ” 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.