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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SIBOUH SAM KEUSSEYAN
NPI 1104632876
Technician - Personal Care Attendant in Henderson, NV

Active since December 09, 2024
2605 VENDANGE PL, HENDERSON, NV 89044(702) 686-6284 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Dec 9, 2024 (2 updates tracked since 2024).

About Mr. Sibouh Sam Keusseyan NPPES

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

MR. SIBOUH SAM KEUSSEYAN (NPI 1104632876) is an individual personal care attendant in Henderson, Nevada and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1104632876
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMR. SIBOUH SAM KEUSSEYAN
Location Address2605 VENDANGE PLHenderson, NV 89044-0451
Mailing Address3055 Saint Rose Pkwy Unit 778051Henderson, NV 89077-8843 · (702) 686-6288
Phone(702) 686-6284
Sole ProprietorYes
Enumeration DateDecember 9, 2024
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1104632876 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
2605 VENDANGE PL, Henderson, NV 89044
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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 Sibouh Keusseyan's NPI number?

The NPI number for Sibouh Keusseyan is 1104632876. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Sibouh Keusseyan located?

Sibouh Keusseyan practices at 2605 Vendange Pl, Henderson, NV 89044. The listed phone number is (702) 686-6284.

What is Sibouh Keusseyan'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 Sibouh Keusseyan was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.