Gennady Benenson
Individual provider Active NPI Personal Care Attendant · Las Vegas, NV
NPI 1508564295 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1508564295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 7762 W Sahara Ave
Las Vegas, NV 89117-2700 - Phone
- (702) 240-7711
- Fax
- (702) 240-7721
- NPI assigned
- Feb 21, 2023
- Sex
- Male
- 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
7762 W Sahara Ave
Las Vegas, NV 89117-2700
Mailing address
7762 W Sahara Ave
Las Vegas, NV 89117-2700
Phone (702) 240-7711
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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 Feb 21, 2023. 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.