Individual provider · Type 1 NPI

Stan Rommel Shakur-Bear Leachman

Personal Care Attendant · Noth Las Vegas, NV

NPI number 1194445569 Active

Practice location

3435 W Craig Rd B
Noth Las Vegas, NV 89012

Mailing address

3171 Key Largo Dr Apt 104
Las Vegas, NV 89120-1109

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Adult Companion 372600000XNone listed
Attendant Care Provider 3747A0650XNone listed
Home Health Aide 374U00000XNone listed
Homemaker 376J00000XNone listed
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

About NPI 1194445569

Stan Rommel Shakur-Bear Leachman's National Provider Identifier is 1194445569, issued on Aug 29, 2022. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Noth Las Vegas, NV. The record was last updated on Dec 31, 2024.