Healthcare Provider Details

I. General information

NPI: 1336005651
Provider Name (Legal Business Name): BIDDY ARACELY ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4221 MCLEOD DR
LAS VEGAS NV
89121-5215
US

IV. Provider business mailing address

5147 VISTA DEL NORTE WAY
NORTH LAS VEGAS NV
89031-2823
US

V. Phone/Fax

Practice location:
  • Phone: 702-474-6450
  • Fax:
Mailing address:
  • Phone: 702-474-6450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: