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LAQUANN WALLACE
NPI 1124580873
Technician - Personal Care Attendant in Las Vegas, NV

Active since April 02, 2019
2235 E FLAMINGO RD STE 130, LAS VEGAS, NV 89119(702) 890-0405 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Apr 2, 2019 (2 updates tracked since 2019).

About Laquann Wallace NPPES

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

LAQUANN WALLACE (NPI 1124580873) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1124580873
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameLAQUANN WALLACE
Location Address2235 E FLAMINGO RD STE 130Las Vegas, NV 89119-5189
Mailing Address2235 E Flamingo Rd Ste 130Las Vegas, NV 89119-5189 · (702) 890-0405
Phone(702) 890-0405
Sole ProprietorNo
Enumeration DateApril 2, 2019
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1124580873 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
2235 E FLAMINGO RD STE 130, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 10

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

CHARMAINE DENISE BEVERLY
Technician (Personal Care Attendant)
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119
Clark County (702) 862-4942
DAULTON MCCALLA
Technician (Personal Care Attendant)
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119
Clark County (702) 890-0405
MICHAEL SEAN OZENNE
Technician (Personal Care Attendant)
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119
Clark County (702) 862-4942
STELLA SARKISYAN
Technician (Personal Care Attendant)
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119
Clark County (702) 890-0405
SHERREE ANNETTE RUSSELL
Technician (Personal Care Attendant)
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119
Clark County (702) 862-4942
A STARLIGHT HOME CARE, LLC
Home Health
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119
Clark County (702) 890-0405
LINDA DEE OBESO
Technician (Personal Care Attendant)
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119
Clark County (702) 862-4942
BRANDON MICHAEL WILLIAMS
Technician (Personal Care Attendant)
2235 E FLAMINGO RD STE 130
LAS VEGAS, NV 89119
Clark County (702) 862-4942

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 Laquann Wallace's NPI number?

The NPI number for Laquann Wallace is 1124580873. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Laquann Wallace located?

Laquann Wallace practices at 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119. The listed phone number is (702) 890-0405.

What is Laquann Wallace'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 Laquann Wallace was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.