Healthcare Provider Details

I. General information

NPI: 1881982148
Provider Name (Legal Business Name): MEKA ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 11/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 S GRAND CANYON DR APT 1048
LAS VEGAS NV
89117
US

IV. Provider business mailing address

2601 S GRAND CANYON DR APT 1048
LAS VEGAS NV
89117-3666
US

V. Phone/Fax

Practice location:
  • Phone: 702-504-5392
  • Fax:
Mailing address:
  • Phone: 702-504-5392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: