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NPI Code Detail

MEDICARE: LAS VEGAS PERSONAL CARE

MEDICARE: LAS VEGAS PERSONAL CARE
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
1302F00000XExclusive Provider Organization1005826609NV
23747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790958981
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS VEGAS PERSONAL CARE
Provider Business Mailing Address
First Line : 4350 ARVILLE ST STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3811
Country : US
Telephone Number : 702-202-3184
Fax Number : 702-202-3587
Provider Business Practice Location Address
First Line : 4350 ARVILLE ST STE 40
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3811
Country : US
Telephone Number : 702-202-3184
Fax Number : 702-202-3587
Authorized Official
Title or Position : MANAGER
Name : YANISEL BENITEZ
Credential :
Telephone Number : 702-972-2246
Provider Enumeration Date : 04/08/2008
Last Update Date : 09/03/2021

Similar Medicare Providers

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Practice Location Address:
4350 ARVILLE ST STE 40
LAS VEGAS, NV
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LAS VEGAS, NV
89103-3811
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1508366204 — FELIX ESCOBAR
Practice Location Address:
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LAS VEGAS, NV
89103-3811
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Practice Fax: 702-202-3587
1750882189 — MARITZA SALCINES
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LAS VEGAS, NV
89103-3811
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1225539661 — AIDA DRACK
Practice Location Address:
4350 ARVILLE ST STE 40
LAS VEGAS, NV
89103-3811
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Directions to “LAS VEGAS PERSONAL CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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