Healthcare Provider Details

I. General information

NPI: 1093620106
Provider Name (Legal Business Name): AMY SHAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 MOUNTAIN VISTA ST STE 210
HENDERSON NV
89014-2364
US

IV. Provider business mailing address

6301 MOUNTAIN VISTA ST STE 210
HENDERSON NV
89014-2364
US

V. Phone/Fax

Practice location:
  • Phone: 702-855-3383
  • Fax: 702-855-3384
Mailing address:
  • Phone: 702-855-3383
  • Fax: 702-855-3384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: