Bre Lashae Frazier
Home Health Aide in Las Vegas, NV. Individual provider (NPI-1).
NPI number1104739879
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1104739879
- Entity type
- Individual (NPI-1)
- Name
- Bre Lashae Frazier
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2026
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
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 |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
3930 Howard Hughes Pkwy Ste 300Las Vegas, NV 89169-0946
Phone 702-560-2192
Mailing address
10772 Manchester Park DrLas Vegas, NV 89141-3444
Phone 612-707-7443
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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All 958 Home Health Aide providers in Las Vegas · All 80,918 providers in Las Vegas
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