Healthcare Provider Details

I. General information

NPI: 1750208559
Provider Name (Legal Business Name): VIRGINIA IRENE D. SACASAS CASEWORKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S JONES BLVD
LAS VEGAS NV
89146-1260
US

IV. Provider business mailing address

130 BARCLAY HEIGHTS AVE
HENDERSON NV
89015-7697
US

V. Phone/Fax

Practice location:
  • Phone: 725-343-1458
  • Fax:
Mailing address:
  • Phone: 725-281-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: