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NPI Code Detail

MEDICARE: NEVADA SENIOR SERVICES INC

MEDICARE: NEVADA SENIOR SERVICES INC
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
1103TM1800XIntellectual & Developmental Disabilities Psychologist
21041C0700XClinical Social Worker
3103TA0700XAdult Development & Aging Psychologist
43747P1801XPersonal Care Attendant
5225XG0600XGerontology Occupational Therapist
6225X00000XOccupational Therapist
7104100000XSocial Worker
8103TB0200XCognitive & Behavioral Psychologist
92084P0805XGeriatric Psychiatry Physician
102355S0801XSpeech-Language Assistant
11103TC0700XClinical Psychologist
122251G0304XGeriatric Physical Therapist
13207QG0300XGeriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1912328162
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA SENIOR SERVICES INC
Provider Business Mailing Address
First Line : 901 N JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-1603
Country : US
Telephone Number : 702-648-3425
Fax Number : 702-648-1408
Provider Business Practice Location Address
First Line : 905 N JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-1655
Country : US
Telephone Number : 702-648-3425
Fax Number : 702-648-1408
Authorized Official
Title or Position : CFO
Name : MR. LES JACOBS
Credential :
Telephone Number : 702-648-3425
Provider Enumeration Date : 12/13/2013
Last Update Date : 03/30/2026

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