Kadin Boudaghian
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1033619952
StatusActive
Last updated in NPPESFeb 16, 2018
Details
- NPI
- 1033619952
- Entity type
- Individual (NPI-1)
- Name
- Kadin Boudaghian
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2018
- Last updated
- Feb 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 374K00000X | Religious Nonmedical Practitioner | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
2001 S Jones Blvd Ste KLas Vegas, NV 89146-3165
Phone 702-202-3452
Mailing address
8635 W Sahara Ave Unit 530Las Vegas, NV 89117-5858
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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