CARLON STALLWORTH
NPI 1063364404
Technician - Personal Care Attendant in Las Vegas, NV

Active since February 10, 2026
4245 S GRAND CANYON DR, LAS VEGAS, NV 89147(702) 825-8106 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlon Stallworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLON STALLWORTH (NPI 1063364404) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1063364404
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameCARLON STALLWORTH
Location Address4245 S GRAND CANYON DRLas Vegas, NV 89147-7161
Mailing Address4245 S Grand Canyon DrLas Vegas, NV 89147-7161 · (702) 825-8106
Sole ProprietorNo
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1063364404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

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

4245 S GRAND CANYON DR, Las Vegas, NV 89147

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4245 S GRAND CANYON DR, STE 108
LAS VEGAS, NV 89147
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlon Stallworth's NPI number?

The NPI number for Carlon Stallworth is 1063364404. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Carlon Stallworth located?

Carlon Stallworth practices at 4245 S Grand Canyon Dr, Las Vegas, NV 89147. The listed phone number is (702) 825-8106.

What is Carlon Stallworth's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Carlon Stallworth was last updated on February 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.