Healthcare Provider Details

I. General information

NPI: 1780552257
Provider Name (Legal Business Name): NEVADA CAREGIVERS AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5940 S RAINBOW BLVD STE 3012
LAS VEGAS NV
89118-2540
US

IV. Provider business mailing address

5940 S RAINBOW BLVD STE 3012
LAS VEGAS NV
89118-2540
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 TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

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