MEDICARE: CAROLYN ANN BAILEY

Medicare Provider Information

Scope of Practice

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

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

General Provider Information

NPI Number	:	1912625690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN ANN BAILEY

Provider Business Mailing Address
First Line	:	1500 E TROPICANA AVE STE 162
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6516
Country	:	US
Telephone Number	:	702-478-8171
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 S JONES BLVD STE 150
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3102
Country	:	US
Telephone Number	:	702-562-2348
Fax Number	:

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

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	04/28/2026

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Directions to “ CAROLYN ANN BAILEY ” Practice Location

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