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ANGELICA CROCKOM
NPI 1750089207
Technician - Personal Care Attendant in Las Vegas, NV

Active since February 22, 2023
1745 N NELLIS BLVD, LAS VEGAS, NV 89115(702) 628-6282 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelica Crockom NPPES

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

ANGELICA CROCKOM (NPI 1750089207) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1750089207
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameANGELICA CROCKOM
Location Address1745 N NELLIS BLVDLas Vegas, NV 89115-3672
Mailing Address1745 N Nellis BlvdLas Vegas, NV 89115-3672 · (702) 628-6282
Phone(702) 628-6282
Sole ProprietorYes
Enumeration DateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1750089207 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
1745 N NELLIS BLVD, Las Vegas, NV 89115
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Other Providers at the Same Location NPPES 7

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

JONNIA WILLIAMS
Technician (Personal Care Attendant)
1745 N NELLIS BLVD
LAS VEGAS, NV 89115
Clark County (702) 628-6282
JONATHAN JONES
Technician (Personal Care Attendant)
1745 N NELLIS BLVD
LAS VEGAS, NV 89115
Clark County (702) 459-7500
MICHAEL PETERSON
Technician (Personal Care Attendant)
1745 N NELLIS BLVD
LAS VEGAS, NV 89115
Clark County (170) 262-8628
GREGG RUTHERFORD
Technician (Personal Care Attendant)
1745 N NELLIS BLVD
LAS VEGAS, NV 89115
Clark County (702) 459-7500
TIFFANY GRIFFIN-CLARK
Technician (Personal Care Attendant)
1745 N NELLIS BLVD
LAS VEGAS, NV 89115
Clark County (702) 628-6282
MARNIQUE MYLES
Technician (Personal Care Attendant)
1745 N NELLIS BLVD
LAS VEGAS, NV 89115
Clark County (702) 628-6282
CASSANDRA MACKLIN
Technician (Personal Care Attendant)
1745 N NELLIS BLVD
LAS VEGAS, NV 89115
Clark County (702) 459-7500

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 Angelica Crockom's NPI number?

The NPI number for Angelica Crockom is 1750089207. It was assigned to this individual provider in the NPPES registry on February 22, 2023.

Where is Angelica Crockom located?

Angelica Crockom practices at 1745 N Nellis Blvd, Las Vegas, NV 89115. The listed phone number is (702) 628-6282.

What is Angelica Crockom'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 Angelica Crockom was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.