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COREY BONIFACIO
NPI 1700628245
Technician - Personal Care Attendant in Las Vegas, NV

Active since June 06, 2024
4245 S GRAND CANYON DR STE 216, LAS VEGAS, NV 89147(702) 751-0356 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corey Bonifacio NPPES

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

COREY BONIFACIO (NPI 1700628245) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1700628245
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameCOREY BONIFACIO
Location Address4245 S GRAND CANYON DR STE 216Las Vegas, NV 89147-7165
Mailing Address4245 S Grand Canyon Dr Ste 216Las Vegas, NV 89147-7165 · (702) 751-0356
Phone(702) 751-0356
Sole ProprietorNo
Enumeration DateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1700628245 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 STE 216, Las Vegas, NV 89147
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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.

WILLIAM PARKHURST
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
BREYANNA PARKER
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
LATONIA WILLIAMS
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
ELENA MENDOZA-FOUTS
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
DIANA ESTRELLA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
DEBRA ZARDER
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
RENE WOOD
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356
JADEDEEN CASTANEDA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 216
LAS VEGAS, NV 89147
Clark County (702) 751-0356

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 Corey Bonifacio's NPI number?

The NPI number for Corey Bonifacio is 1700628245. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Corey Bonifacio located?

Corey Bonifacio practices at 4245 S Grand Canyon Dr Ste 216, Las Vegas, NV 89147. The listed phone number is (702) 751-0356.

What is Corey Bonifacio'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 Corey Bonifacio was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.