MEDICARE: MEKENI

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	251E00000X	Home Health Agency
2	174400000X	Specialist

General Provider Information

NPI Number	:	1760251144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEKENI

Provider Business Mailing Address
First Line	:	PO BOX 33789
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-3789
Country	:	US
Telephone Number	:	702-688-2507
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 LOSEE RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2523
Country	:	US
Telephone Number	:	702-688-2507
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GINA BALGOYEN
Credential	:	APRN
Telephone Number	:	702-688-2507

Provider Enumeration Date	:	12/27/2023
Last Update Date	:	10/21/2025

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Directions to “MEKENI ” Practice Location

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