Healthcare Provider Details

I. General information

NPI: 1164350005
Provider Name (Legal Business Name): STEVEN ROCHA RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2737 PINEWOOD AVE
HENDERSON NV
89074-1250
US

IV. Provider business mailing address

2737 PINEWOOD AVE
HENDERSON NV
89074-1250
US

V. Phone/Fax

Practice location:
  • Phone: 909-714-2485
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number865811
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: