Healthcare Provider Details

I. General information

NPI: 1154057396
Provider Name (Legal Business Name): ANNA ROSA PADILLA-SALAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2509 WESTFALL RD
SPARKS NV
89436-6126
US

IV. Provider business mailing address

2509 WESTFALL RD
SPARKS NV
89436-6126
US

V. Phone/Fax

Practice location:
  • Phone: 775-954-8835
  • Fax:
Mailing address:
  • Phone: 775-954-8835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License NumberPCS-7743
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberPCS-7743
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License NumberPCS-7743
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License NumberPCS-7743
License Number StateNV
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberPCS-7743
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberPCS-7743
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: