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Jordyn Fails

Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).

NPI number1154966232
StatusActive
Last updated in NPPESNov 12, 2019

Details

NPI
1154966232
Entity type
Individual (NPI-1)
Name
Jordyn Fails
Sex
Male
Sole proprietor
No
Enumeration date
Nov 12, 2019
Last updated
Nov 12, 2019

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 codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

3134 S Torrey Pines Dr
Las Vegas, NV 89146-6536

Phone 909-648-6346

Mailing address

3134 S Torrey Pines Dr
Las Vegas, NV 89146-6536

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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