Individual provider Active NPI

Craig Al Hancock II

  • Community Health Worker
  • Las Vegas, NV
National Provider Identifier
1649600131
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
CHW-5915 Issued in NV
Practice address
3016 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1964
Phone
(702) 371-7970
NPI assigned
Nov 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X
Personal Care Attendant 3747P1801X NV
Community Health Worker 172V00000X CHW-5915 NV Primary

Addresses

Primary practice location

3016 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1964

Mailing address

4217 El Conlon Ave Apt 2017
Las Vegas, NV 89102-0623
Phone (702) 371-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHW-5915NVMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trailways Residential LLC Current Accepting new patients
Trailways Investments LLC Current Accepting new patients
Trailways Personal Care LLC PastSince Nov 1, 2023 Accepting new patients
Trailways Personal Care LLC PastSince Sep 3, 2025 Accepting new patients

Locations

3016 W Charleston Blvd
Ste 150
Las Vegas, NV 89102
Phone (702) 412-9077

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1649600131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 EL CONLON AVE APT 2017",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020623",
            "telephone_number": "702-371-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021964",
            "telephone_number": "702-371-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "CRAIG",
        "middle_name": "AL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW-5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.