Individual provider · Type 1 NPI

Tyler Imani-Benet Moore, PCA

Personal Care Attendant · North Las Vegas, NV

NPI number 1104756758 Active

Practice location

2517 Lake Martin Ct
North Las Vegas, NV 89031-4306

Call (925) 219-6154 Map

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1104756758

Tyler Imani-Benet Moore, PCA's National Provider Identifier is 1104756758, issued on May 22, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in North Las Vegas, NV. The record was last updated on May 22, 2026.