Healthcare Provider Details
I. General information
NPI: 1447148291
Provider Name (Legal Business Name): AMPM PERSONAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1640 E SAHARA AVE STE E
LAS VEGAS NV
89104-3491
US
IV. Provider business mailing address
1640 E SAHARA AVE STE E
LAS VEGAS NV
89104-3491
US
V. Phone/Fax
- Phone: 702-776-1004
- Fax:
- Phone: 702-776-1004
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLAUDIA
YANET
NUNEZ
Title or Position: OWNER
Credential:
Phone: 702-822-2655