MEDICARE: PATRICE RIDEOUT

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	372600000X	Adult Companion
2	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184150658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICE RIDEOUT

Provider Business Mailing Address
First Line	:	2420 RAINY MEADOWS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4419
Country	:	US
Telephone Number	:	702-301-3377
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 RAINY MEADOWS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-4419
Country	:	US
Telephone Number	:	702-301-3377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2017
Last Update Date	:	10/21/2024

Similar Medicare Providers

1174820427 — ALGA CANTY-SMITH
Practice Location Address:

4419 MATINEE AVE
NORTH LAS VEGAS, NV
89031-0417

Practice Phone: 702-439-0941
Practice Fax:

1780822833 — FRESENIUS MEDICAL CARE CENTENNIAL, LLC
Practice Location Address:

7465 W AZURE DR STE 1A
LAS VEGAS, NV
89130-4419

Practice Phone: 702-395-2602
Practice Fax: 702-656-1503

1831561067 — ERIN ABREO
Practice Location Address:

9400 BERMUDA RD APT 331
LAS VEGAS, NV
89123-4419

Practice Phone: 530-514-9324
Practice Fax:

1598202244 — INFINITE POSSIBILITIES BEHAVIORAL HEALTHCARE LLC
Practice Location Address:

650 S TOWN CENTER DR , #2079
LAS VEGAS, NV
89144-4419

Practice Phone: 702-426-9478
Practice Fax:

1497256754 — MS. IRMA M VELASCO PCA
Practice Location Address:

8058 PONDEROSA HILL ST
LAS VEGAS, NV
89113-4419

Practice Phone: 702-334-9816
Practice Fax:

1780485797 — LIANET BOUZA MEDINA RN
Practice Location Address:

6425 DEADWOOD RD
LAS VEGAS, NV
89108-4419

Practice Phone: 786-609-8207
Practice Fax:

Directions to “ PATRICE RIDEOUT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.