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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

PHOUKHAM SOUPHILAVONG
NPI 1972426542
Technician - Personal Care Attendant in Henderson, NV

Active since July 31, 2026
6301 MOUNTAIN VISTA ST STE 210, HENDERSON, NV 89014(702) 855-3382(702) 855-3384 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoukham Souphilavong NPPES

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

PHOUKHAM SOUPHILAVONG (NPI 1972426542) is an individual personal care attendant in Henderson, Nevada and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1972426542
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NamePHOUKHAM SOUPHILAVONG
Location Address6301 MOUNTAIN VISTA ST STE 210Henderson, NV 89014-2364
Mailing Address6301 Mountain Vista St Ste 210Henderson, NV 89014-2364 · (702) 855-3382 · Fax (702) 855-3384
Phone(702) 855-3382
Fax(702) 855-3384
Sole ProprietorYes
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
✔ NPI 1972426542 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
6301 MOUNTAIN VISTA ST STE 210, Henderson, NV 89014
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Other Providers at the Same Location NPPES 2

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

DIADEMA OLIVIA GICAIN BAYLON
Technician (Personal Care Attendant)
6301 MOUNTAIN VISTA ST STE 210
HENDERSON, NV 89014
Clark County (702) 855-3382
MARIA ELAINE ESPOSITO
Technician (Attendant Care Provider)
6301 MOUNTAIN VISTA ST STE 210
HENDERSON, NV 89014
Clark County (702) 855-3362

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 Phoukham Souphilavong's NPI number?

The NPI number for Phoukham Souphilavong is 1972426542. It was assigned to this individual provider in the NPPES registry on July 31, 2026.

Where is Phoukham Souphilavong located?

Phoukham Souphilavong practices at 6301 Mountain Vista St Ste 210, Henderson, NV 89014. The listed phone number is (702) 855-3382.

What is Phoukham Souphilavong'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 Phoukham Souphilavong was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.