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NPI Code Detail

MEDICARE: CAREN HOMES

MEDICARE: CAREN HOMES
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
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1821942442
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREN HOMES
Provider Business Mailing Address
First Line : PO BOX 335253
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89033-5253
Country : US
Telephone Number : 702-966-9324
Fax Number :
Provider Business Practice Location Address
First Line : 4017 FABULOUS FINCHES AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-4808
Country : US
Telephone Number : 702-384-2273
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PRECIOUS PETTAWAY
Credential :
Telephone Number : 702-969-3234
Provider Enumeration Date : 02/21/2026
Last Update Date : 02/21/2026

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Directions to “CAREN HOMES ” Practice Location

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