Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlisa Renee Carruthers-Hicks

Individual provider Attendant Care Provider · NPI 1114788650

Charlisa Renee Carruthers-Hicks is an Attendant Care Provider in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

535 S Decatur Blvd
Las Vegas, NV 89107-3910
Phone: (702) 562-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X
Attendant Care Provider Taxonomy 3747A0650X
Homemaker Taxonomy 376J00000X

Record details

NPI number1114788650
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

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