Ileana Sandoval
Technician, Personal Care Attendant in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1164051462
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1164051462
- Entity type
- Individual (NPI-1)
- Name
- Ileana Sandoval
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2020
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
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 |
Practice location
2415 Reynolds AveNorth Las Vegas, NV 89030-7278
Phone 702-722-1229
Mailing address
2415 Reynolds AveNorth Las Vegas, NV 89030-7278
Phone 702-722-1229
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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