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Mastisha Khalila McCain

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

NPI number1861995607
StatusActive
Last updated in NPPESJan 8, 2019

Details

NPI
1861995607
Entity type
Individual (NPI-1)
Name
Mastisha Khalila McCain
Sex
Female
Sole proprietor
No
Enumeration date
Mar 16, 2018
Last updated
Jan 8, 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

1701 N Green Valley Pkwy Ste 9a
Henderson, NV 89074-5991

Phone 702-407-1100

Mailing address

1701 N Green Valley Pkwy Ste 9a
Henderson, NV 89074-5991

Phone 702-407-1100

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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