MEDICARE: JERMAIN SAINT-BIEN

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	251E00000X	Home Health Agency	884528	NV

General Provider Information

NPI Number	:	1356165534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERMAIN SAINT-BIEN

Provider Business Mailing Address
First Line	:	5840 GOLD HORIZON ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-6882
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5840 GOLD HORIZON ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-6882
Country	:	US
Telephone Number	:	702-945-6874
Fax Number	:

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

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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Directions to “ JERMAIN SAINT-BIEN ” Practice Location

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