MEDICARE: RODULPH BALBOA

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1194605626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODULPH BALBOA

Provider Business Mailing Address
First Line	:	2316 CAMEL ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-5247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2316 CAMEL ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-5247
Country	:	US
Telephone Number	:	725-206-5714
Fax Number	:

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

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

Similar Medicare Providers

1699274209 — MS. CASANDRA MIRAMONTES
Practice Location Address:

10112 RUGGLES MANSION AVE
LAS VEGAS, NV
89166-5247

Practice Phone: 562-321-8638
Practice Fax:

1538745831 — LILLIAN SHANNON GOINS
Practice Location Address:

5026 N VALADEZ ST
LAS VEGAS, NV
89149-5247

Practice Phone: 702-286-2987
Practice Fax:

1437958741 — ENERGEN HOME HEALTH CARE
Practice Location Address:

4045 SPENCER ST STE 210
LAS VEGAS, NV
89119-5247

Practice Phone: 702-956-7877
Practice Fax:

1528922895 — BRIANNA RUBY OCEGUEDA
Practice Location Address:

2112 N NELLIS BLVD
LAS VEGAS, NV
89115-5507

Practice Phone: 725-502-6816
Practice Fax:

1508729732 — BARBARA DAY
Practice Location Address:

4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV
89115-6466

Practice Phone: 702-531-9344
Practice Fax:

1396521241 — RITA GENOVEVA DOMINGUEZ ROMAN CHW2
Practice Location Address:

6285 ANGORA PEAK LN
LAS VEGAS, NV
89115-1662

Practice Phone: 954-860-3216
Practice Fax:

Directions to “ RODULPH BALBOA ” 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 © 2007-2025 (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.