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TYLER IMANI-BENET MOORE PCA
NPI 1104756758
Technician - Personal Care Attendant in North Las Vegas, NV

Active since May 22, 2026
2517 LAKE MARTIN CT, NORTH LAS VEGAS, NV 89031(925) 219-6154 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Imani-benet Moore Pca NPPES

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

TYLER IMANI-BENET MOORE PCA (NPI 1104756758) is an individual personal care attendant in North Las Vegas, Nevada and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104756758
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameTYLER IMANI-BENET MOORECredential: PCA
Location Address2517 LAKE MARTIN CTNorth Las Vegas, NV 89031-4306
Mailing Address2517 Lake Martin CtNorth Las Vegas, NV 89031-4306
Phone(925) 219-6154
Sole ProprietorYes
Enumeration DateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1104756758 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
2517 LAKE MARTIN CT, North Las Vegas, NV 89031
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Other Providers at the Same Location NPPES

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

TIMENA WILSON
Technician/Technologist
2517 LAKE MARTIN CT
NORTH LAS VEGAS, NV 89031
Clark County (707) 980-9485

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 Tyler Moore's NPI number?

The NPI number for Tyler Moore is 1104756758. It was assigned to this individual provider in the NPPES registry on May 22, 2026.

Where is Tyler Moore located?

Tyler Moore practices at 2517 Lake Martin Ct, North Las Vegas, NV 89031. The listed phone number is (925) 219-6154.

What is Tyler Moore'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 Tyler Moore was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.