Healthcare Provider Details

I. General information

NPI: 1033918172
Provider Name (Legal Business Name): YISIAN ESCOBAR TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E DESERT INN RD
LAS VEGAS NV
89169-2525
US

IV. Provider business mailing address

1600 E DESERT INN RD
LAS VEGAS NV
89169-2525
US

V. Phone/Fax

Practice location:
  • Phone: 702-801-8221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: