MEDICARE: ILEANA MOREIRA

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	:	1255029880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILEANA MOREIRA

Provider Business Mailing Address
First Line	:	6229 OLD TRAIL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2530
Country	:	US
Telephone Number	:	702-845-4972
Fax Number	:

Provider Business Practice Location Address
First Line	:	6229 OLD TRAIL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2530
Country	:	US
Telephone Number	:	702-845-4972
Fax Number	:

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

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	05/01/2023

Similar Medicare Providers

1134690068 — LEIDYS HERNANDEZ MACEDA
Practice Location Address:

6229 OLD TRAIL RD
LAS VEGAS, NV
89108-2530

Practice Phone: 702-986-1640
Practice Fax:

1063617736 — VEGAS VALLEY TREATMENT CENTER
Practice Location Address:

1325 S COMMERCE ST
LAS VEGAS, NV
89102-2530

Practice Phone: 702-383-9890
Practice Fax:

1427248624 — STEVEN ZEITLIN
Practice Location Address:

1325 S COMMERCE ST
LAS VEGAS, NV
89102-2530

Practice Phone: 702-383-9890
Practice Fax: 702-383-0748

1144613845 — WALGREEN CO
Practice Location Address:

2427 LAS VEGAS BLVD S STE 100
LAS VEGAS, NV
89104-2530

Practice Phone: 702-545-9494
Practice Fax: 702-545-9495

1972975621 — MATTHEW FORSTER RPH
Practice Location Address:

2427 LAS VEGAS BLVD S STE 100
LAS VEGAS, NV
89104-2530

Practice Phone: 702-545-9494
Practice Fax:

1447618244 — MARTINEZ ORTHODONTICS LLC
Practice Location Address:

5775 S RAINBOW BLVD , STE 103
LAS VEGAS, NV
89118-2530

Practice Phone: 702-979-9799
Practice Fax: 702-979-9823

Directions to “ ILEANA MOREIRA ” 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.