MEDICARE: NAIDAS ENTERPRISES, 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
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1942957667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAIDAS ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	7985 MERLEWOOD AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7646
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4062 MONTHILL AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6318
Country	:	US
Telephone Number	:	702-451-3284
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PRUDENCE LANDICHO
Credential	:
Telephone Number	:	702-526-7677

Provider Enumeration Date	:	03/02/2022
Last Update Date	:	03/02/2022

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Directions to “NAIDAS ENTERPRISES, INC. ” Practice Location

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