Olga Caridad Bacallao
Individual provider Active NPI Personal Care Attendant · Las Vegas, NV
NPI 1124744594 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1124744594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2810 W Charleston Blvd Ste 44
Las Vegas, NV 89102-1905 - Phone
- (702) 485-1888
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
2810 W Charleston Blvd Ste 44
Las Vegas, NV 89102-1905
Mailing address
2810 W Charleston Blvd Ste 44
Las Vegas, NV 89102-1905
Other providers in Las Vegas, NV
- Heather Kay Bacala
- Jose Rosas Bacala
- Ivette Maria Bacallao Llanio
- Belkis Bacallao Rodriguez
- Helianne Bacallao
- Vincent Bacalso
- Nicole Bacani
- Susan Lapaz Bacani
- Jadyn Biltz Bacaoco
- Jose Bacay
All providers in Las Vegas, NV · Personal Care Attendant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.