MEDICARE: MICHELLE J RAMIREZ

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	3747P1801X	Personal Care Attendant
3	103K00000X	Behavior Analyst
4	372500000X	Chore Provider
5	3747A0650X	Attendant Care Provider
6	372600000X	Adult Companion

General Provider Information

NPI Number	:	1679068688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE J RAMIREZ

Provider Business Mailing Address
First Line	:	8430 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-7672
Country	:	US
Telephone Number	:	702-504-8427
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2804
Country	:	US
Telephone Number	:	702-665-5654
Fax Number	:

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

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	08/15/2019

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Directions to “ MICHELLE J RAMIREZ ” Practice Location

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