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BRODERICK STAVES
NPI 1255063863
Technician - Personal Care Attendant in Las Vegas, NV

Active since June 30, 2022
410 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145(702) 751-0356 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broderick Staves NPPES

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

BRODERICK STAVES (NPI 1255063863) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1255063863
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameBRODERICK STAVES
Location Address410 S RAMPART BLVD STE 390Las Vegas, NV 89145-5749
Mailing Address410 S Rampart Blvd Ste 390Las Vegas, NV 89145-5749
Phone(702) 751-0356
Sole ProprietorNo
Enumeration DateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1255063863 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
410 S RAMPART BLVD STE 390, Las Vegas, NV 89145
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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.

KIM BOSTIC
Technician (Personal Care Attendant)
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145
Clark County (702) 751-0356
SHONNIKA DODSON
Technician (Personal Care Attendant)
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145
Clark County (702) 751-0356
VERNELL MONSOUR
Technician (Personal Care Attendant)
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145
Clark County (702) 751-0356
MARGARET SMITH
Technician (Personal Care Attendant)
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145
Clark County (702) 751-0356
APRIL KOWAL
Technician (Personal Care Attendant)
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145
Clark County (702) 751-0356
LAURA SANTILLAN
Technician (Personal Care Attendant)
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145
Clark County (702) 751-0356
LEAH VIERRA
Technician (Personal Care Attendant)
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145
Clark County (702) 751-0356
SHADAE SEWARD
Community Health Worker
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145
Clark County (725) 720-4550

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 Broderick Staves's NPI number?

The NPI number for Broderick Staves is 1255063863. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Broderick Staves located?

Broderick Staves practices at 410 S Rampart Blvd Ste 390, Las Vegas, NV 89145. The listed phone number is (702) 751-0356.

What is Broderick Staves'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 Broderick Staves was last updated on June 30, 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.