Healthcare Provider Details

I. General information

NPI: 1538846209
Provider Name (Legal Business Name): YUMISLEIDIS ESCALONA ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3468 E SAHARA AVE # 165
LAS VEGAS NV
89104-4827
US

IV. Provider business mailing address

3468 E SAHARA AVE # 165
LAS VEGAS NV
89104-4827
US

V. Phone/Fax

Practice location:
  • Phone: 702-207-0842
  • Fax: 702-207-0357
Mailing address:
  • Phone: 702-207-0842
  • Fax: 702-207-0842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: