Healthcare Provider Details

I. General information

NPI: 1285579276
Provider Name (Legal Business Name): PHILLIP S MCGREW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 CENTER ST APT 7C
HENDERSON NV
89015-6181
US

IV. Provider business mailing address

730 CENTER ST APT 7C
HENDERSON NV
89015-6181
US

V. Phone/Fax

Practice location:
  • Phone: 702-855-3382
  • Fax: 702-855-3384
Mailing address:
  • Phone: 702-855-3382
  • Fax: 702-855-3384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: