MEDICARE: ANTONIO SMITH

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	:	1336925916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIO SMITH

Provider Business Mailing Address
First Line	:	500 N RAINBOW BLVD STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1061
Country	:	US
Telephone Number	:	702-488-8145
Fax Number	:

Provider Business Practice Location Address
First Line	:	4524 KAY PL
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-4173
Country	:	US
Telephone Number	:	725-254-8760
Fax Number	:

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

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	09/07/2023

Similar Medicare Providers

1124419684 — MICHELE RENEE HOGUEISSON APRN, FNP
Practice Location Address:

500 N RAINBOW BLVD , STE. 203
LAS VEGAS, NV
89107-1082

Practice Phone: 702-259-1228
Practice Fax: 702-259-1252

1225960461 — RACHEL VARGAS BASTEIRO
Practice Location Address:

216 GOLDY LN
LAS VEGAS, NV
89107-2418

Practice Phone: 702-971-9955
Practice Fax:

1396434775 — MR. JEREMIAS DEWAYNE CARTER
Practice Location Address:

800 N RAINBOW BLVD STE 145
LAS VEGAS, NV
89107-1191

Practice Phone: 725-204-9155
Practice Fax:

1265251813 — CHANGE FOR THE BETTER, LLC
Practice Location Address:

800 N RAINBOW BLVD STE 145
LAS VEGAS, NV
89107-1191

Practice Phone: 725-204-9155
Practice Fax:

1063345734 — NEVADA THERAPY COLLECTIVE LLC
Practice Location Address:

201 MISSION LAGUNA LN APT 203
LAS VEGAS, NV
89107-2772

Practice Phone: 702-530-2554
Practice Fax:

1295732451 — ADVANCED HOUSE CALLS INC
Practice Location Address:

112 S JONES BLVD
LAS VEGAS, NV
89107-2614

Practice Phone: 702-838-7110
Practice Fax: 702-838-7112

Directions to “ ANTONIO SMITH ” 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.