MEDICARE: DEJA ONASSIS HENDRIX

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	374U00000X	Home Health Aide
3	376J00000X	Homemaker
4	385H00000X	Respite Care
5	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1386577104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEJA ONASSIS HENDRIX

Provider Business Mailing Address
First Line	:	2001 S JONES BLVD STE H
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3165
Country	:	US
Telephone Number	:	702-367-0111
Fax Number	:	702-367-0111

Provider Business Practice Location Address
First Line	:	2001 S JONES BLVD STE H
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3165
Country	:	US
Telephone Number	:	702-367-0111
Fax Number	:	702-367-0111

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ DEJA ONASSIS HENDRIX ” Practice Location

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