Healthcare Provider Details

I. General information

NPI: 1912024449
Provider Name (Legal Business Name): CATHOLIC CHARITIES OF SOUTHERN NEVADA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 N 30TH ST
LAS VEGAS NV
89101-3650
US

IV. Provider business mailing address

531 N 30TH ST
LAS VEGAS NV
89101-3650
US

V. Phone/Fax

Practice location:
  • Phone: 702-385-5284
  • Fax: 702-385-3206
Mailing address:
  • Phone: 702-385-5284
  • Fax: 702-385-3206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNV

VIII. Authorized Official

Name: PATRICK R LEARY
Title or Position: EXECUTIVE DIRECTOR
Credential: MONSIGNOR
Phone: 702-385-2662