MEDICARE: PETIT CM INVESTMENTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0630X	Assisted Living Facility (Behavioral Disturbances)

General Provider Information

NPI Number	:	1114857257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETIT CM INVESTMENTS LLC

Provider Business Mailing Address
First Line	:	6990 EDNA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6990 EDNA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3004
Country	:	US
Telephone Number	:	702-901-9281
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CARMEN HIRCIAG
Credential	:
Telephone Number	:	702-901-9281

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “PETIT CM INVESTMENTS LLC ” Practice Location

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