MEDICARE: NURSE CHAQUET LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1700745122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE CHAQUET LLC

Provider Business Mailing Address
First Line	:	7528 MAIDEN RUN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-7931
Country	:	US
Telephone Number	:	702-215-9274
Fax Number	:

Provider Business Practice Location Address
First Line	:	3519 S MARYLAND PKWY STE F
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3079
Country	:	US
Telephone Number	:	702-215-9274
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. CHAQUET GRIFFIN
Credential	:	RN
Telephone Number	:	203-443-9201

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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