Healthcare Provider Details

I. General information

NPI: 1841188562
Provider Name (Legal Business Name): MEIVY BARRIONUEVO L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 S EASTERN AVE STE 110
LAS VEGAS NV
89119-6146
US

IV. Provider business mailing address

5390 OXBOW ST
LAS VEGAS NV
89119-2864
US

V. Phone/Fax

Practice location:
  • Phone: 702-202-1809
  • Fax:
Mailing address:
  • Phone: 702-406-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MEIVY BARRIONUEVO
Title or Position: CHIEF EXECUTIVE
Credential:
Phone: 702-406-9040