MEDICARE: FAITH GARDNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747A0650X	Attendant Care Provider
2	374U00000X	Home Health Aide
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1366374365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAITH GARDNER

Provider Business Mailing Address
First Line	:	4525 S SANDHILL RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5955
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 S SANDHILL RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5955
Country	:	US
Telephone Number	:	702-980-5000
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ FAITH GARDNER ” Practice Location

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