Healthcare Provider Details

I. General information

NPI: 1891048609
Provider Name (Legal Business Name): NEVADA CAREGIVERS AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5940 S RAINBOW BLVD STE 3012
LAS VEGAS NV
89118-2506
US

IV. Provider business mailing address

5940 S RAINBOW BLVD STE 3012
LAS VEGAS NV
89118-2506
US

V. Phone/Fax

Practice location:
  • Phone: 702-754-5900
  • Fax: 725-214-1331
Mailing address:
  • Phone: 702-754-5900
  • Fax: 725-214-1331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number7454PCS-O
License Number StateNV

VIII. Authorized Official

Name: MISS KATHY IRENE KIDD
Title or Position: FOUNDER/OWNER
Credential:
Phone: 702-754-5900