Jose Bacay
Individual provider Active NPI Personal Care Attendant · Las Vegas, NV
NPI 1336764166 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1336764166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 8297 Golden Cypress Ave
Las Vegas, NV 89117-9136 - Phone
- (702) 612-6159
- NPI assigned
- Jun 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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
8297 Golden Cypress Ave
Las Vegas, NV 89117-9136
Mailing address
8297 Golden Cypress Ave
Las Vegas, NV 89117-9136
Phone (702) 612-6159
Other providers in Las Vegas, NV
- Olga Caridad Bacallao
- Vincent Bacalso
- Nicole Bacani
- Susan Lapaz Bacani
- Jadyn Biltz Bacaoco
- Amir Bacchus
- Brandon Baccus
- Carissa Mae Bacena
- Norma Bach
- Vu Nguyen Bach
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 Jun 8, 2020. 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.