Sandra Montgomery
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1245067693
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1245067693
- Entity type
- Individual (NPI-1)
- Name
- Sandra Montgomery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
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
4245 S Grand Canyon DrLas Vegas, NV 89147-7161
Phone 725-745-3741
Mailing address
4245 S Grand Canyon DrLas Vegas, NV 89147-7161
Phone 725-745-3741
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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