De Edra Chase
Individual provider Active NPI Personal Care Attendant · Las Vegas, NV
NPI 1407602170 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1407602170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 8452 Boseck Dr Unit 111
Las Vegas, NV 89145-4562 - Phone
- (619) 750-7479
- NPI assigned
- Apr 24, 2024
- 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
8452 Boseck Dr Unit 111
Las Vegas, NV 89145-4562
Mailing address
8452 Boseck Dr Unit 111
Las Vegas, NV 89145-4562
Phone (619) 750-7479
Other providers in Las Vegas, NV
- Kirsten E. Charter
- Shannon Angela Chartrey
- Merika Charupoom
- Julia Charvet
- Cynthia Chase
- Elizabeth Chase
- James H Chase
- Shane Chase
- Tina Yolanda Chase
- Mazal Chasson-Forrest
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 Apr 24, 2024. 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.