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General NPI Number Information
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NPI Number | 1891048609
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Entity Type | Organization
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Legal Business Name | NEVADA CAREGIVERS AGENCY
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 5940 S RAINBOW BLVD STE 3012
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City | LAS VEGAS
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State | NV
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Zip | 89118-2506
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Country | US
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Telephone | 702-754-5900
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Fax | 725-214-1331
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Provider Business Mailing Address
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Address Line | 5940 S RAINBOW BLVD STE 3012
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City | LAS VEGAS
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State | NV
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Zip | 89118-2506
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Country | US
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Telephone | 702-754-5900
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Fax | 725-214-1331
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | MISS KATHY IRENE KIDD
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Credential |
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Telephone | 702-754-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 7454PCS-O
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License Number State | NV
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