MEDICARE: SAGIRAH BOB

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	374U00000X	Home Health Aide
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1639041577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAGIRAH BOB

Provider Business Mailing Address
First Line	:	4429 POINT BREEZE DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-0228
Country	:	US
Telephone Number	:	510-890-1480
Fax Number	:

Provider Business Practice Location Address
First Line	:	3663 E SUNSET RD STE 201E
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3246
Country	:	US
Telephone Number	:	725-220-0328
Fax Number	:	725-220-0636

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

Provider Enumeration Date	:	09/20/2025
Last Update Date	:	04/22/2026

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Directions to “ SAGIRAH BOB ” Practice Location

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