Patricia Adkisson

Individual provider Active NPI Personal Care Attendant · Las Vegas, NV

NPI 1902306830 · NPPES record last updated Feb 16, 2018

Key facts

NPI
1902306830
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
535 S Decatur Blvd
Las Vegas, NV 89107-3910
Phone
(702) 562-2273
NPI assigned
Feb 16, 2018
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)CodeLicenseStatePrimary
Chore Provider 372500000X
Adult Companion 372600000X
Attendant Care Provider 3747A0650X
Homemaker 376J00000X
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

535 S Decatur Blvd
Las Vegas, NV 89107-3910

Mailing address

5037 Ropers Rock CT
Las Vegas, NV 89131-3698

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Personal Care Attendant in Nevada

Sources for this page

Verify at the official NPI Registry.